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DR. BRENT ROBERT TAYLOR M.D. NPI 1316175128


NPI Information

NPI: 1316175128
Provider Name: DR. BRENT ROBERT TAYLOR, M.D.
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: PREMIER DERMATOLOGY AND MOHS SURGERY OF ATLANTA LLC

PECOS Registration: Yes

Address:
1541 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204
Phone: (866) 400-3376
Get Directions

DR. Brent Robert Taylor, M.D. is a mohs-micrographic surgery dermatology in Jacksonville, FL with 15 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Brent Robert Taylor, M.D. NPI is 1316175128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1541 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204-124
Phone: (866) 400-3376

The NPI 1316175128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 6/30/2009 and was last updated on 6/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyME120226FLORIDANo
2207N00000XDermatology73661GEORGIANo
3207N00000XDermatology32031SOUTH CAROLINANo
4207ND0101XDermatologyMOHS-Micrographic Surgery73661GEORGIAYes
5207NS0135XDermatologyProcedural DermatologyA124812CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1012735800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.