Individual provider Active NPI

Taylor Maxwell Goller

  • Student in an Organized Health Care Education/Training Program
  • Pittsfield, MA
National Provider Identifier
1619473899
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
725 North St
Pittsfield, MA 01201-4109
Phone
(413) 447-2000
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 287780 MA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

725 North St
Pittsfield, MA 01201-4109

Mailing address

15 Wellesley St
Pittsfield, MA 01201-7307
Phone (802) 318-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210727001408 MA Practitioner - Emergency Medicine 5698023810 Reassigns benefits to 4 organizations
I20250522001690 MI Practitioner - Emergency Medicine 5698023810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 346-1845

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Fairview Hospital CurrentSince Oct 12, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Oct 12, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 26, 2021 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 26, 2021 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

505 East St
Pittsfield, MA 01201
Phone (413) 442-6221

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

197 Adams Rd
Williamstown, MA 01267
Phone (413) 458-8182

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1619473899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WELLESLEY ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017307",
            "telephone_number": "802-318-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLER",
        "first_name": "TAYLOR",
        "middle_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "287780",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.