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

Taylor Lloyd Dodgen

Individual provider Dermatology Physician · NPI 1275952780

Taylor Lloyd Dodgen is a Dermatology in Bradenton, Florida. Graduated from Indiana University School of Medicine in 2014, 12 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Trained at
Indiana University School of Medicine
Licensed in
FL
In the registry since
2014
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Practice location Address checks out

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone: (941) 538-0022
Fax: (941) 538-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME137069 (FL)

Record details

NPI number1275952780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2014
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address11715 Rangeland Pkwy, Bradenton, FL 34211-9529

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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