Bradley Clifford Taylor, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2479 Issued in OK

Practice address

14701 N Santa Fe Ave
Edmond, OK 73013-3411

Phone

(405) 752-2733

Fax

(405) 752-2172

NPI assigned

May 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: btaylor@direct.uspi.com

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.

• Britton Vision Associates Inc

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1427051408
  Medicare reassignment NPD

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1902809643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733",
            "fax_number": "405-752-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 N SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133411",
            "telephone_number": "405-752-2733",
            "fax_number": "405-752-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRADLEY",
        "middle_name": "CLIFFORD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "2479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2871904",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153730A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "899616",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "458329",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Tate, M.ED., L.P.C.
• David Grant Tatum
• Taylor Holloman Therapy & Wellness Services PLLC Dba Trellis Therapy
• Ann Renee Taylor
• Anthony Dewayne Taylor
• Emily A Taylor, D.C.
• Gordon Allan Taylor, L.M.F.T.
• Jaime Sue Taylor, MA LPC
• Jeanelle L Taylor, M.S. CCC-SLP
• Jenna Lyn Taylor

• Ophthalmology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.