Physician Assistant, Surgical
TAYLOR BROACH
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780441030 · enumerated 2024-03-04 · record updated 2026-03-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 10630 CLEMSON BLVD STE 100, SENECA, SC, 29678-4545 (864) 482-6000 Fax (864) 482-7000 Google Maps Apple Maps OpenStreetMap
- Mailing address 300 E MCBEE AVE STE 300, GREENVILLE, SC, 29601-2899 (864) 522-8603 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant, Surgical 363AS0400X · Primary · License 6190 SC
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
SENECA, SC, 296784545
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.