Individual provider Active NPI

Brandon Christopher Taylor

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1508426719
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009415A Issued in IN
Practice address
3700 Washington Ave
Evansville, IN 47714-0541
Phone
(812) 485-4000
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009415A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

807 S Hoosier Ave
Evansville, IN 47715-4147
Phone (812) 746-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002233 IN Practitioner - Nurse Practitioner 0244662716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Oct 12, 2019 Accepting new patients
Cep America LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Current Accepting new patients
Newburgh Urgent Care LLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
Gateway Urgent Care, LLC Nurse Practitioner PastSince Apr 1, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

710 S Green River Rd
Ste 1
Evansville, IN 47715
Phone (812) 901-5780

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

8211 W State Route 66
#A
Newburgh, IN 47630
Phone (270) 570-7500

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
Phone (270) 663-0955

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1508426719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S HOOSIER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154147",
            "telephone_number": "812-746-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRANDON",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009415A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.