Individual provider Active NPI

Taylor Banks Kirkman, D.O.

  • Interventional Cardiology Physician
  • New Bern, NC
National Provider Identifier
1740635366
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2023-01029 Issued in NC
Practice address
1001 Newman Rd
New Bern, NC 28562-5253
Phone
(252) 635-6777
Fax
(252) 634-3183
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO4948 FL
Internal Medicine Physician 207R00000X 2023-01029 NC
Interventional Cardiology Physician 207RI0011X 2023-01029 NC Primary

Addresses

Primary practice location

1001 Newman Rd
New Bern, NC 28562-5253

Mailing address

PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-6777

Other practice location 1

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804001622 NC Practitioner - Interventional Cardiology 4486947728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

1001 Newman Rd
New Bern, NC 28562-5253
Phone (252) 635-6777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01029NCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Carolinaeast Physicians Internal Medicine Current Accepting new patients
Carolinaeast Physicians CurrentSince Aug 1, 2023 Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

1001 Newman Rd
New Bern, NC 28562
Phone (252) 635-6777

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: tkirkman20547@carolinaeastmc.direct-ci.com

Organizations & group practices 3

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 3

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1740635366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625253",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Fivay Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677103",
            "country_code": "US",
            "telephone_number": "727-819-2966",
            "fax_number": "727-819-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKMAN",
        "first_name": "TAYLOR",
        "middle_name": "BANKS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO4948",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-01029",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2023-01029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.