Brad T Taylor, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109919 Issued in FL

Practice address

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174-9435

Phone

(386) 788-2300

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Neurology IncGroup PAC ID 4082669478, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Coastal Neurology, Inc.

  dba Coastal Pain Mgmt, Neurology & Rehabilitation

  • Neurology Physician
  • Ormond Beach, FL
  • NPI 1457358434

  Medical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1679011480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749435",
            "telephone_number": "386-788-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749435",
            "telephone_number": "386-788-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRAD",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecille Tapia Santiago, MD
• Tapihour
• Carrie Jennifer Tarr, CCC-SLP
• Rebecca Lillian Tavares
• Taygun P.C. (The Gynecology Center)
• Casey Taylor
• Matthew Christopher Taylor, M.ED., LMHC
• Patricia L Taylor, OTR
• TDN Dentistry, PLLC (Brown and Nawrocki Restorative & Cosmetic Dentistry)
• Jennifer D Teate

• Medical Physician Assistant in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.