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

Taylor Breidenbach

Individual provider Physician Assistant · NPI 1497115679

Taylor Breidenbach is a Physician Assistant in Paoli, Pennsylvania. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

255 W Lancaster Ave Ste 332 Mob Iii
Paoli, PA 19301-1766
Phone: (610) 647-3077
Fax: (610) 993-0668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-3601

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA007583 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA057801 (PA)

Record details

NPI number1497115679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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