Brentley Richard Taylor (NPI# 1699903781, PAC ID# 2961719760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1699903781 |
| PAC ID by PECOS | 2961719760 |
| Professional Enrollment ID | I20171010003521 |
| Full Name | Brentley Richard Taylor |
| Address |
350 Cypress Bend Blvd Gulf Shores AL 36542-2773 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY, MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| 010100 | THOMAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 Cypress Bend Blvd, Gulf Shores, AL 36542-2773 |
| Street Address |
350 CYPRESS BEND BLVD |
| City | GULF SHORES |
| State | AL |
| Zip | 36542-2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yula A Indeyeva | Plastic and Reconstructive Surgery | 350 Cypress Bend Blvd, Gulf Shores, AL 36542-2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia M Barton | Chiropractic | 7369 Alamo Cir, Gulf Shores, AL 36542-1100 | |
| Lyle Keith Cooper | Chiropractic | 3325 Gulf Shores Pkwy, Gulf Shores, AL 36542-2715 | |
| Katie Lorin Sullivan | Physical Therapy | Benchmark Physical Therapy of Alabama, LLC | 3947 Gulf Shores Pkwy, Suite 260, Gulf Shores, AL 36542-2729 |
| Leslie Beard Lawhun | Physical Therapy | Benchmark Physical Therapy of Alabama, LLC | 3947 Gulf Shores Pkwy, Suite 260, Gulf Shores, AL 36542-2729 |
| Amanda Cornelison | Physical Therapy | Benchmark Physical Therapy of Alabama, LLC | 3947 Gulf Shores Pkwy, Suite 260, Gulf Shores, AL 36542-2729 |
| Heather B Steigerwald | Nurse Practitioner | 3849 Gulf Shores Pkwy, Suite 9, Gulf Shores, AL 36542-2856 | |
| Gregory S Funk | General Practice | General Practice, P.C. | 3849 Gulf Shores Pkwy, Suite 9, Gulf Shores, AL 36542-2856 |
| David R Felber | Optometry | 261 Clubhouse Dr, Gulf Shores, AL 36542-3415 | |
| Nicole Bodine | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 1700 W 2nd St, Gulf Shores, AL 36542-3422 |
| Diane Renae Teal | Nurse Practitioner | Gulf Shores Medical Center | 200 Office Park Dr, Gulf Shores, AL 36542-3432 |
| Find all physicians in zip 36542 | |||
| City | GULF SHORES |
| Zip Code | 36542 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | GULF SHORES + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Brentley Richard Taylor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.