Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Taylor Bacus

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770112161

Brent Taylor Bacus is an Emergency Medicine in Indianapolis, Indiana. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1701 N Senate Blvd # AG012
Indianapolis, IN 46202-1239
Phone: (317) 962-5975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01090460A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770112161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address1701 N Senate Blvd # Ag012, Indianapolis, IN 46202-1239

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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