Individual provider Active NPI

Taylor D. Brunson, FNP-C

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1679450514
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
328411 Issued in AZ
Practice address
20640 W Roosevelt St
Suite 104
Buckeye, AZ 85326-1555
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Aug 20, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 328411 AZ Primary

Addresses

Primary practice location

20640 W Roosevelt St
Suite 104
Buckeye, AZ 85326-1555

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other practice location 1

19550 W Indian School Rd Ste 102
Buckeye, AZ 85396-2078
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
238582MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250910003646 AZ Practitioner - Nurse Practitioner 0941703540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

11435 W Buckeye Rd
Suite A106
Avondale, AZ 85323-6812
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Sep 14, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients
Livn, P.C. Past Accepting new patients
Good Health Medical, PLLC PastSince Sep 28, 2025 Accepting new patients

Locations

11435 W Buckeye Rd
Ste A106
Avondale, AZ 85323
Phone (703) 415-6994

19550 W Indian School Rd
Ste 102
Buckeye, AZ 85396

20640 W Roosevelt St
Ste 104
Buckeye, AZ 85326

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1679450514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20640 W ROOSEVELT ST",
            "address_2": "SUITE 104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261555",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19550 W Indian School Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853962078",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "TAYLOR",
        "middle_name": "D.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "328411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.