Individual provider Active NPI

Brian Joseph Taylor, PA-C

  • Physician Assistant
  • Waynesville, NC
National Provider Identifier
1861834798
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001005014 Issued in NC
Practice address
1272 East St
Waynesville, NC 28786-3437
Phone
(828) 456-3511
Fax
(828) 456-3583
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 60404645 WA
Physician Assistant 363A00000X 001005014 NC Primary

Addresses

Primary practice location

1272 East St
Waynesville, NC 28786-3437

Mailing address

1272 East St
Waynesville, NC 28786-3437
Phone (828) 456-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140129000915 WA Practitioner - Physician Assistant 4789813403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olympic Medical Imaging Consultants, PLLCGroup PAC ID 8820984552, 17 clinicians

Practice addresses (Care Compare)

1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676
Phone (360) 337-6500

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

Merit-based Incentive Payment System (MIPS)

Final score
78.76 of 100Reported as group
Quality
90
Improvement activities
40
Cost
47.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001005014NCMDPhysician Assistant
PA 60404645WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Radia LLC Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

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 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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1861834798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 EAST ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863437",
            "telephone_number": "828-456-3511",
            "fax_number": "828-456-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 EAST ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863437",
            "telephone_number": "828-456-3511",
            "fax_number": "828-456-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60404645",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001005014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.