Taylor Elizabeth Broach

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

6190 Issued in SC

Practice address

10630 Clemson Blvd Ste 100
Seneca, SC 29678-4545

Phone

(864) 482-6000

Fax

(864) 482-7000

NPI assigned

Mar 4, 2024

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009

Medicare enrollment (NPD)

Enrolled

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.

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment Care Compare group

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

• Prisma Health-Upstate

  dba Prisma Health Oconee Memorial Hospital

  • General Acute Care Hospital
  • Seneca, SC
  • NPI 1063968196
  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Center For Family Medicine-Oconee

  • Clinic/Center
  • Seneca, SC
  • NPI 1407345846

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  dba Prisma Health Oconee Pain Management

  • Pain Clinic/Center
  • Seneca, SC
  • NPI 1891237632

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780441030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 CLEMSON BLVD STE 100",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784545",
            "telephone_number": "864-482-6000",
            "fax_number": "864-482-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Claussen Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295058727",
            "country_code": "US",
            "telephone_number": "843-601-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROACH",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "6190",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Stanley Bowman, M.D.
• Daniel Frederick Boxwell, D.O.
• Rebecca Jill Brackett, FNP-C
• Dimetra Brewer, NP-C
• Misti Dawn Brien, LMSW
• Bowen Harrison Brock, PT, DPT
• Ronnie Alan Brockway, MD
• Dana Lee Brown, MA, CADC, CBT, CTC
• Kaylan H. Brown, BSN, RN
• William Scott Brown, MD

• Surgical Physician Assistant in Seneca, SC
• Providers in Seneca, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.