Individual provider Active NPI

Brittany Ann Tyson, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1124559828
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A157551 Issued in CA
Practice address
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone
(561) 346-5825
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X ME149119 FL
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A157551 CA Primary

Addresses

Primary practice location

1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029

Mailing address

1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone (561) 346-5825

Other practice location 1

14591 Coral Way
Miami, FL 33175-8038
Phone (561) 346-5825

Other practice location 2

14150 SW 136th St
Miami, FL 33186-5506
Phone (561) 346-5825

Other practice location 3

9520 NW 58th St
Doral, FL 33178-3318
Phone (561) 346-5825

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000507 FL Practitioner - Emergency Medicine 6103241823 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Emergent Physicians of Miami Lakes LLCGroup PAC ID 9739617010, 22 clinicians
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians
Emergent Physicians of Doral LLCGroup PAC ID 5193113223, 22 clinicians

Practice addresses (Care Compare)

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

15200 NW 77TH CT
Miami Lakes, FL 33016-6033
Phone (877) 346-2211

6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-4000

9520 NW 58TH St
Doral, FL 33178-4732
Phone (786) 888-8820

Hospital & facility affiliations

  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A157551CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Country Walk, LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Emergent Physicians of Doral, LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Emergent Physicians of West Dade, LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
South Miami Criticare Inc. Single Specialty CurrentSince Feb 15, 2022 Accepting new patients

Locations

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1124559828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CLINIC TOWER, SUITE A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "561-346-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CLINIC TOWER, SUITE A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "561-346-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14591 Coral Way",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758038",
            "country_code": "US",
            "telephone_number": "561-346-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14150 SW 136th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331865506",
            "country_code": "US",
            "telephone_number": "561-346-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9520 NW 58th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331783318",
            "country_code": "US",
            "telephone_number": "561-346-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-03-17",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149119",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A157551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.