Tyler Robert Branscombe, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN 20595 Issued in FL

Practice address

8851 N 56TH St
Temple Terrace, FL 33617-6203

Phone

(813) 381-5628

NPI assigned

Jun 2, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1053724583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 DENHAM DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315909",
            "telephone_number": "941-704-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336176203",
            "telephone_number": "813-381-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCOMBE",
        "first_name": "TYLER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elie Boutros, DPT
• Luz Maria Bovell, MSW
• Jamecia Bowden
• Zenobia Bowen, DPM
• Braingevitymd
• Danielle Breitweiser, DPT
• Michele Elisabeth Brengs, APRN
• Alisa Brindley, APRN
• Ryan Mitchell Brink, DO
• Elizabeth Brock, PTA

• Dentist in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.