DR. TYLER BURGESS BRAHM (NPI# 1942277694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942277694 |
| Entity Type | Individual |
| Full Name | DR. TYLER BURGESS BRAHM |
| Credential | D.P.M. |
| 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 | 2006-03-01 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO922 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1942277694 | 01 |
| Street Address |
300 JEFFORDS ST STE D |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1508006123 | Lisa D Hollett | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-02-22 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104191063 | Christine P Miller | Podiatrist | 13600 Icot Blvd Bldg B, Clearwater, FL 33760-3703 | 2012-03-12 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| 1285840272 | Lee D. Smith, Dpm, Pa | Podiatrist | 2451 N Mcmullen Booth Rd Ste 206, Clearwater, FL 33759-1362 | 2007-05-15 |
| 1649326802 | Scarlett A Kinley | Podiatrist | 321 S Lincoln Ave, Clearwater, FL 33756-5823 | 2007-01-28 |
| 1750454740 | John Savidakis Jr. | Podiatrist | 2701 Park Dr Ste 6, Clearwater, FL 33763-1021 | 2006-11-16 |
| 1134233562 | Kenneth David Rappaport | Podiatrist | 2556 Heron Ln N, Clearwater, FL 33762-3356 | 2006-08-19 |
| 1093722548 | Naomi S Marsh | Podiatrist | 2451 N Mcmullen Booth Rd, Ste 206, Clearwater, FL 33759-1356 | 2006-08-01 |
| 1255319133 | Ferdinand Otto Kussel | Podiatrist | 2378 Sunset Point Rd., Clearwater, FL 33765 | 2006-01-02 |
| 1104802206 | John Savidakis Jr.,p.a. | Podiatrist | 2701 Park Dr, Suite 6, Clearwater, FL 33763-1021 | 2005-12-20 |
| 1588652879 | Geoffrey Martin Day | Podiatrist | 13600 Icot Blvd Bldg A, Clearwater, FL 33760-3703 | 2005-10-11 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.