BRENNON TAYLOR
NPI 1841976230
Physician Assistant - Surgical in Bronx, NY

Active since June 22, 2023PECOS Enrolled
1522 UNIONPORT RD APT 2F, BRONX, NY 10462(347) 554-4974 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Jun 22, 2023 (2 updates tracked since 2023).

About Brennon Taylor NPPES

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

BRENNON TAYLOR (NPI 1841976230) is an individual surgical provider in Bronx, New York, licensed in Connecticut (23.006765) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Yale University School Of Medicine (2023).

NPPES Registry Identity

NPI1841976230
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRENNON TAYLOR
Location Address1522 UNIONPORT RD APT 2FBronx, NY 10462-7840
Mailing Address1522 Unionport Rd Apt 2fBronx, NY 10462-7840 · (347) 554-4974
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2023
Enumeration DateJune 22, 2023
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1841976230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 23.006765
1522 UNIONPORT RD APT 2F, Bronx, NY 10462

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brennon Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507394855
PECOS Enrollment IDI20250527002164
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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 Brennon Taylor's NPI number?

The NPI number for Brennon Taylor is 1841976230. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Brennon Taylor located?

Brennon Taylor practices at 1522 Unionport Rd Apt 2F, Bronx, NY 10462. The listed phone number is (347) 554-4974.

What is Brennon Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brennon Taylor enrolled in Medicare?

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

Is Brennon Taylor affiliated with any hospitals?

According to CMS data, Brennon Taylor is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Brennon Taylor was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.