BRAD T TAYLOR PA
NPI 1679011480
Physician Assistant - Medical in Ormond Beach, FL

Active since February 01, 2017PECOS EnrolledAccepts Medicare Assignment
725 W GRANADA BLVD, SUITE 22, ORMOND BEACH, FL 32174(386) 788-2300 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brad T Taylor Pa NPPES

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

BRAD T TAYLOR PA (NPI 1679011480) is an individual medical provider in Ormond Beach, Florida, licensed in Florida (PA9109919) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679011480
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRAD T TAYLORCredential: PA
Location Address725 W GRANADA BLVD, SUITE 22Ormond Beach, FL 32174-9435
Mailing Address725 W Granada Blvd, Suite 22Ormond Beach, FL 32174-9435 · (386) 788-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 1, 2017
NPI 1679011480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9109919
725 W GRANADA BLVD, Ormond Beach, FL 32174

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brad T Taylor Pa 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 ID6800148859
PECOS Enrollment IDI20260515003031
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 14

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

Nurse Practitioner (Family)
725 W GRANADA BLVD, SUITE 22
ORMOND BEACH, FL 32174
Pediatrics
725 W GRANADA BLVD
ORMOND BEACH, FL 32174
Psychiatry & Neurology (Neurology)
725 W GRANADA BLVD, SUITE 22
ORMOND BEACH, FL 32174
Pediatrics
725 W GRANADA BLVD
ORMOND BEACH, FL 32174
Dermatology
725 W GRANADA BLVD, UNIT 44
ORMOND BEACH, FL 32174
Physical Therapist
725 W GRANADA BLVD, STE 35
ORMOND BEACH, FL 32174
Hearing Instrument Specialist
725 W GRANADA BLVD, STE. 46
ORMOND BEACH, FL 32174
Psychiatry & Neurology (Neurology)
725 W GRANADA BLVD, SUITE 22
ORMOND BEACH, FL 32174

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 Brad Taylor's NPI number?

The NPI number for Brad Taylor is 1679011480. It was assigned to this individual provider in the NPPES registry on February 1, 2017.

Where is Brad Taylor located?

Brad Taylor practices at 725 W Granada Blvd Suite 22, Ormond Beach, FL 32174. The listed phone number is (386) 788-2300.

What is Brad Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brad Taylor enrolled in Medicare?

Yes. Brad 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.

When was this NPI record last updated?

The NPPES record for Brad Taylor was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.