Tyler Bridges

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

316 Baxters Bay St
North Las Vegas, NV 89084-2574

Phone

(928) 750-4762

NPI assigned

Dec 11, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2024.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1043027337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BAXTERS BAY ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842574",
            "telephone_number": "928-750-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BAXTERS BAY ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842574",
            "telephone_number": "928-750-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Duane Brewer, LMSW
• Kamaliha Brewster, B.A.
• Trisha Brickner
• Bridge of Hope Behavioral Health LLC.
• Bridge the Gap Counseling LLC
• Bridging the Gap-Adult Sickle Cell Disease Foundation of Nevada
• Andrew Briggs
• Richard Rasmussen Briggs, M.D.
• Jessica Bright
• Michael Brigoli, MD

• All providers in North Las Vegas, NV
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.