DR. TYLER JAMES BROLIN (NPI# 1053601591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053601591 |
| Entity Type | Individual |
| Full Name | DR. TYLER JAMES BROLIN |
| Credential | M.D. |
| Practice Address |
1458 W Poplar Ave Ste 100 Collierville TN 38017-0630 |
| Mailing Address |
1400 S. Germantown Rd Germantown TN 38138-2205 |
| Practice Telephone | 9017593100 |
| Practice Fax Number | 9017593196 |
| Mailing Telephone | 9017593100 |
| Mailing Fax Number | 9017593196 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 24906 | MS | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 55799 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD457009 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 221116001 | 05 | |
| TN | Q029821 | 05 | |
| MS | 05234353 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 S Germantown Rd, Germantown, TN 381382205 | 9017593100 | |
| 1211 Union Ave Ste 500, Memphis, TN 381046656 | 9017593100 | |
| 7545 Airways Blvd, Southaven, MS 386715806 | 9017593100 | |
| 8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 |
| Street Address |
1458 W POPLAR AVE STE 100 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982828364 | Benjamin Matthew Mauck | Orthopaedic Surgery | 1458 W Poplar Ave Ste 100, Collierville, TN 38017-0630 | 2007-04-13 |
| 1619152642 | Campbell Clinic PC | Durable Medical Equipment & Medical Supplies | 1458 W Poplar Ave Ste 100, Collierville, TN 38017-0630 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562254 | Ana Katarina Palmieri | Orthopaedic Surgery | 472 W Poplar Ave, 200, Collierville, TN 38017-2538 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428816 | Tennessee Valley Orthopaedics, LLC | Orthopaedic Surgery | 110 Hospital Dr Ste G20, Jefferson City, TN 37760-5281 | 2020-05-13 |
| 1043831498 | Elite Sports Medicine & Orthopaedic Center, Plc | Orthopaedic Surgery | 395 Wallace Rd Ste 201a, Nashville, TN 37211-4881 | 2020-04-27 |
| 1588291694 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 215 Gothic Ct # 100, Franklin, TN 37067-8313 | 2020-03-26 |
| 1861029084 | Premier Orthopaedics & Sports Medicine, Plc | Orthopaedic Surgery | 2933 Medical Center Pkwy Ste D, Murfreesboro, TN 37129-2391 | 2020-03-26 |
| 1417597196 | Spine and Orthopedic Specialists of Tennessee, Pllc | Orthopaedic Surgery | 2002 Richard Jones Rd Ste C300, Nashville, TN 37215-2867 | 2020-01-10 |
| 1033757802 | Mark S. Sumida, Md Pllc | Orthopaedic Surgery | 1724 Hamill Rd Ste 204, Hixson, TN 37343-5098 | 2019-12-12 |
| 1629619820 | Jon Slaven | Orthopaedic Surgery | 260 Midway Medical Park Ste 100, Bristol, TN 37620-1722 | 2019-09-30 |
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1801357058 | Bone and Joint Institute of Tennessee Inc | Orthopaedic Surgery | 1106 Elliston Way Ste 300, Thompsons Station, TN 37179-4407 | 2019-03-29 |
| 1861926479 | University of Tennessee Martin | Orthopaedic Surgery | 95 Mount Pelia Rd, Elam Center, Martin, TN 38238-0001 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.