TAYLOR BROCKMAN NP
NPI 1245883693
Nurse Practitioner - Family in Suffolk, VA

Q: What is Taylor Brockman's NPI number?

The NPI number for Taylor Brockman is 1245883693. It was assigned to this individual provider in the NPPES registry on July 24, 2019. The provider is also known as Taylor Riddle.

Q: What is Taylor Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Brockman was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 July 24, 2019PECOS Enrolled

148 BURNETTS WAY STE 107, SUFFOLK, VA 23434(757) 738-1375(757) 934-6935 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Taylor Brockman Np NPPES

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

TAYLOR BROCKMAN NP (NPI 1245883693) is an individual family provider in Suffolk, Virginia, licensed in Virginia (0024177904) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245883693

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAYLOR BROCKMANCredential: NP

Location Address148 BURNETTS WAY STE 107Suffolk, VA 23434-6149

Mailing Address148 Burnetts Way Ste 107Suffolk, VA 23434-6149 · (757) 738-1375 · Fax (757) 934-6935

Phone(757) 738-1375

Fax(757) 934-6935

Sole ProprietorNo

Enumeration DateJuly 24, 2019

✔ NPI 1245883693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024177904

148 BURNETTS WAY STE 107, Suffolk, VA 23434

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Other Names 1

Former Name (1)Taylor Riddle

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Brockman Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. QUAN VU HONG DAO MD

Family Medicine

148 BURNETTS WAY STE 107
SUFFOLK, VA 23434

Suffolk City (757) 738-1375

SANTHA KOLLI M.D.

Family Medicine

148 BURNETTS WAY STE 107
SUFFOLK, VA 23434

Suffolk City (757) 738-1375

JORDAN SANCHEZ BABIY FNP-C

Nurse Practitioner (Family)

148 BURNETTS WAY STE 107
SUFFOLK, VA 23434

Suffolk City (757) 738-1375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Brockman's NPI number?

The NPI number for Taylor Brockman is 1245883693. It was assigned to this individual provider in the NPPES registry on July 24, 2019. The provider is also known as Taylor Riddle.

Where is Taylor Brockman located?

Taylor Brockman practices at 148 Burnetts Way Ste 107, Suffolk, VA 23434. The listed phone number is (757) 738-1375.

What is Taylor Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Taylor Brockman enrolled in Medicare?

Yes. Taylor Brockman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Brockman was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.