MR. BRADLEY R TAYLOR SR.
NPI 1609363126
Counselor - Professional in Virginia Beach, VA

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
4460 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462(757) 376-8167(757) 452-4447 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Dec 2, 2025, Jun 29, 2020 and 1 more (4 updates tracked since 2018).

About Mr. Bradley R Taylor Sr. NPPES

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

MR. BRADLEY R TAYLOR SR. (NPI 1609363126) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701007601) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609363126
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRADLEY R TAYLOR SR.
Location Address4460 CORPORATION LN STE 300Virginia Beach, VA 23462-3150
Mailing Address4460 Corporation Ln Ste 300Virginia Beach, VA 23462-3150 · (757) 376-8167 · Fax (757) 452-4447
Fax(757) 452-4447
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 19, 2018
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1609363126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701007601
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102138 (VA), 0718000469 (VA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH22237 (FL)
4460 CORPORATION LN STE 300, Virginia Beach, VA 23462

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bradley R Taylor Sr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42640666
PECOS Enrollment IDI20250924000625
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 Reassignments

2

Medicare enrollment records show Bradley Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
921 FIRST COLONIAL RD, SUITE 1711
Virginia Beach, VA 23454
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, District of Columbia enrollment
  • 12 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 19

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

Counselor (Professional)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Mental Health)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Professional)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Mental Health)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Professional)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Mental Health)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Mental Health)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462
Counselor (Professional)
4460 CORPORATION LN STE 300
VIRGINIA BEACH, VA 23462

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 Bradley Taylor's NPI number?

The NPI number for Bradley Taylor is 1609363126. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Bradley Taylor located?

Bradley Taylor practices at 4460 Corporation Ln Ste 300, Virginia Beach, VA 23462. The listed phone number is (757) 376-8167.

What is Bradley Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bradley Taylor enrolled in Medicare?

Yes. Bradley Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bradley Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Taylor reassigns Medicare benefits to 2 organizations: First Colonial Psychotherapy Services (Virginia Beach, VA) and Brightside Health, Inc. (San Francisco, CA). Each 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 Bradley Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Taylor accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Bradley Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Taylor was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.