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

Dr. Brent Robert Taylor, MD

Individual provider Dermatology Physician · NPI 1316175128

Dr. Brent Robert Taylor, MD is a Micrographic Dermatologic Surgery (Mds) in Jacksonville, Florida. Graduated from Vanderbilt University School of Medicine in 2009, 17 years ago. Practices with Premier Dermatology and Mohs Surgery of Atlanta LLC, a 2-clinician group and accepts Medicare assignment. Licensed in California, Florida, Georgia and South Carolina.

Years since qualifying
17
Trained at
Vanderbilt University School of Medicine
Licensed in
CA, FL, GA, SC
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Riverside Ave
Jacksonville, FL 32204-4124
Phone: (866) 400-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 73661 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 32031 (SC)
Dermatology Physician Taxonomy 207N00000X · Licence 73661 (GA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A124812 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence ME120226 (FL)

Record details

NPI number1316175128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2009
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Premier Dermatology And Mohs Surgery Of Atlanta Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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