Individual provider Active NPI

Brett Taylor, D.C.

  • Chiropractor
National Provider Identifier
1780851410
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03441 Issued in MD
Practice address
337 Hospital Drive
Glen Burnie, MARYLAND 21061
UM
Phone
(410) 761-7955
Fax
(410) 761-3245
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03441 MD Primary

Addresses

Primary practice location

337 Hospital Drive
Glen Burnie, MARYLAND 21061
UM

Mailing address

718 Westhills Pkwy
Baltimore, MD 21229-1117
Phone (410) 761-7955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000895 MO Practitioner - Chiropractic 9830359330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1222 Linn St
Sikeston, MO 63801-3402
Phone (573) 471-4652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03441MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Chiropractic, LLC Chiropractor CurrentSince Feb 15, 2012 Accepting new patients
The Glen Burnie Neck and Back Pain Center LLC Chiropractor Past Accepting new patients

Locations

1222 Linn St
Sikeston, MO 63801
Phone (573) 471-1833

Organizations & group practices 2

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1780851410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WESTHILLS PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291117",
            "telephone_number": "410-761-7955",
            "fax_number": "410-761-3245"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "337 HOSPITAL DRIVE",
            "city": "GLEN BURNIE",
            "state": "MARYLAND",
            "postal_code": "21061",
            "telephone_number": "410-761-7955",
            "fax_number": "410-761-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.