Individual provider Active NPI

Taylor Clay Bear, M.D.

  • Neurology Physician
  • Cleveland, TN
National Provider Identifier
1801019617
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2006022060 Issued in MO
Practice address
2253 Chambliss Ave NW Ste 400
Cleveland, TN 37311
Phone
(423) 476-5002
Fax
(423) 476-5969
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2006022060 MO Primary

Addresses

Primary practice location

2253 Chambliss Ave NW Ste 400
Cleveland, TN 37311

Mailing address

2253 Chambliss Ave NW Ste 204
Cleveland, TN 37311-3861
Phone (423) 476-5002

Other practice location 1

3020 Saint Johns Blvd
Suite E3
Joplin, MO 64804-1564
Phone (417) 659-6876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor.bear.1@1525.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811001392 TN Practitioner - Neurology 2365541455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 400
Cleveland, TN 37311-3861
Phone (423) 472-5986

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC Neurology CurrentSince Aug 1, 2024 Accepting new patients
Knoxville Hma Physician Management, LLC Neurology CurrentSince Dec 12, 2019 Accepting new patients
Sjmgroup Past Accepting new patients
Mercy Clinic Joplin LLC Past Accepting new patients

Locations

2253 Chambliss Ave NW
Ste 400
Cleveland, TN 37311
Phone (423) 472-5986

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: taylor.bear.1@1525.direct.athenahealth.com
  • Direct secure messaging: taylor.bear.1@31613.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1801019617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 204",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-476-5002",
            "fax_number": "423-476-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 400",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-476-5002",
            "fax_number": "423-476-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Saint Johns Blvd",
            "address_2": "Suite E3",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041564",
            "country_code": "US",
            "telephone_number": "417-659-6876",
            "fax_number": "417-659-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAR",
        "first_name": "TAYLOR",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2006022060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.bear.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2253 Chambliss Ave NW Ste 400",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.