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TYLER B. BRAHM NPI 1881878551


NPI Information

NPI: 1881878551
Provider Name: TYLER B. BRAHM
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
300 JEFFORDS ST
STE D
CLEARWATER, FL
ZIP 33756
Phone: (727) 446-2190
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TYLER B. BRAHM is a primary podiatric medicine podiatrist in Clearwater, FL. TYLER B. BRAHM NPI is 1881878551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 JEFFORDS ST
STE D
CLEARWATER, FL
ZIP 33756-810
Phone: (727) 446-2190
Fax: (727) 446-3350

The provider's authorized official is Tyler B Brahm .
The authorized official title is Podiatrist and has the following contact phone number (727) 446-2190.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicinePO922FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14062330001MEDICARE NSCFLORIDA
2T84646MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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