DR. TYLER NICHOLAS BRONNENKANT (NPI# 1629361936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629361936 |
| Entity Type | Individual |
| Full Name | DR. TYLER NICHOLAS BRONNENKANT |
| Credential | M.D. |
| Practice Address |
1930 E Thomas Rd Phoenix AZ 85016-7711 |
| Practice Telephone | 6025321000 |
| Mailing Telephone | 6025321000 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 49468 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1930 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635092 | Michael Paul Alberti | Emergency Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2005-11-02 |
| 1326678319 | Desiree Little | Nurse Practitioner | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2020-01-19 |
| 1073987376 | Jamie Maberry | Nurse Practitioner | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2015-11-24 |
| 1750768099 | Atlas Anesthesia | Anesthesiology | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2015-05-06 |
| 1508102674 | Joan Marie Huldah White | Specialist/Technologist, Other | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2012-12-18 |
| 1255640819 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2010-09-30 |
| 1518294917 | Diana A Hans | Emergency Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2009-11-06 |
| 1487894564 | Janice Miiller | Nurse Anesthetist, Certified Registered | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2009-03-02 |
| 1417167313 | Randy O Odero | Internal Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2007-05-22 |
| 1851427512 | Patricia E Thorpe | Radiology | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1669861423 | Arthur Barker | Emergency Medicine | 4205 W Reddie Loop, Phoenix, AZ 85083-1610 | 2015-01-16 |
| 1326481102 | Adrienne R Azurdia | Emergency Medicine | 4237 E Liberty Ln, Phoenix, AZ 85048-0537 | 2013-04-11 |
| 1538401930 | Hannah Malashock | Emergency Medicine | 129 W Coronado Rd, Phoenix, AZ 85003-1144 | 2013-03-23 |
| 1982977922 | Robert Ellis George | Emergency Medicine | 1011 W. Golden Ln., Phoenix, AZ 85021 | 2012-02-22 |
| 1588972889 | Glenn Richard Kunsman | Emergency Medicine | 3507 N Central Ave Ste 403, Phoenix, AZ 85012-2124 | 2010-09-21 |
| 1073849501 | Melissa Denny | Emergency Medicine | 4225 E Mcdowell Rd Apt 1039, Phoenix, AZ 85008-4418 | 2009-10-17 |
| 1700111689 | Rachel Levitan | Emergency Medicine | 2601 E. Roosevelt, Department of Emergency Medicine, Phoenix, AZ 85008 | 2009-10-09 |
| 1891029328 | Patrick Godwin | Emergency Medicine | 5045 E Oneida St, Phoenix, AZ 85044-3325 | 2009-09-30 |
| 1689802209 | Robert John Mintz | Emergency Medicine | 9225 N 3rd St Ste 307, Phoenix, AZ 85020-2466 | 2009-06-23 |
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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.