Physician Compare National (NPI:1407211543)

HEALTHCARE PROVIDER: BRANDEN DONELL TAYLOR CRNP-PMH

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407211543
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901102755
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160304001149
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAYLOR
	Individual professional last name
Provider First Name	BRANDEN
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GRACE MEDICAL CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0446216832
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	39
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2000 W BALTIMORE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	DEPARTMENT OF BEHAVIORAL HEALTH
	Group Practice or individual's line 2 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212231558
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4103623000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDSTAR HARBOR HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	210013
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BON SECOURS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y