TYLER B. BRAHM (NPI# 1881878551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881878551 |
| Entity Type | Organization |
| Organization Name | TYLER B. BRAHM |
| Practice Address |
300 Jeffords St Ste D Clearwater FL 33756-3810 |
| Practice Telephone | 7274462190 |
| Practice Fax Number | 7274463350 |
| Mailing Telephone | 7274462190 |
| Mailing Fax Number | 7274463350 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | DR. TYLER B BRAHM (PODIATRIST) |
| Authorized Official Telephone | 7274462190 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO922 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
300 JEFFORDS ST STE D |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942277694 | Tyler Burgess Brahm | Podiatrist | 300 Jeffords St, Ste D, Clearwater, FL 33756-3810 | 2006-03-01 |
| 1164711263 | Veronica F Bohrmann | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2011-03-30 |
| 1215236104 | Todd A Borgwald | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2011-03-18 |
| 1013216191 | Katrina D Hall | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2011-03-15 |
| 1922316124 | Wendy Jean Kinney | Specialist | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2010-09-22 |
| 1891008504 | Kelly D Woolsey | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2010-07-22 |
| 1982832275 | Julie Mills Bishop | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-06-25 |
| 1386886885 | Mary F Bergin | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-03-30 |
| 1861632721 | Charles S Weaver | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-03-04 |
| 1689814642 | Tranetta L Ellis | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on TYLER B. BRAHM.
| 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.