DR. BERTIS DARRYL TAYLOR III MD
NPI 1063255180
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Q: What is Bertis Taylor's NPI number?

The NPI number for Bertis Taylor is 1063255180. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Bertis Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bertis Taylor was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2024PECOS Enrolled

1301 HODGES DR, TALLAHASSEE, FL 32308(850) 431-5430 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Jun 17, 2024 (2 updates tracked since 2024).

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About Dr. Bertis Darryl Taylor Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BERTIS DARRYL TAYLOR III MD (NPI 1063255180) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1063255180

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BERTIS DARRYL TAYLOR IIICredential: MD

Location Address1301 HODGES DRTallahassee, FL 32308-4614

Mailing Address1301 Hodges DrTallahassee, FL 32308-4614

Phone(850) 431-5430

Sole ProprietorYes

Enumeration DateJune 17, 2024

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1063255180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1301 HODGES DR, Tallahassee, FL 32308

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Secondary Practice Location 1

Location 11264 Metropolitan BlvdTallahassee, FL 32312-2536 · Phone (850) 383-3333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bertis Darryl Taylor Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA N HAMMER D.O.

Student in an Organized Health Care Education/Training Program