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

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: October 18, 2026.

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Taylor Riddle

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Brockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine Associates Of North Stafford
125 mi
Family Medicine
2761 JEFFERSON DAVIS HWY STE 101
Stafford, VA 22554
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1447893953 (909) 281-4720

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Taylor Brockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Brockman reassigns Medicare benefits to Family Medicine Associates Of North Stafford (Stafford, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Brockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.