Active NPI
Tyler F Brundige, MD
- Ophthalmology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2002007672
- Practice address
- 9401 N Oak Trfy
Kansas City, MO 64155-2233 - Phone
- (816) 478-1230
- Fax
- (816) 350-6801
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2002007672 | MO | Primary |
Addresses
Primary practice location
9401 N Oak Trfy
Kansas City, MO 64155-2233
Mailing address
9401 N Oak Trfy
Kansas City, MO 64155-2233
Phone (816) 478-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Missouri, Columbia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care LLC
Practice addresses (Care Compare)
11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230
4741 S Cochise Dr
Independence, MO 64055-6974
Phone (816) 478-1230
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care, LLC | Ophthalmology | Current | Accepting new patients |
| Eye Care, LLC | Ophthalmology | Current | Accepting new patients |
| Eye Care LLC | Ophthalmology | Current | Accepting new patients |
| Eye Care, LLC | Ophthalmology | Current | Accepting new patients |
Locations
11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902
670 S Commercial St
Harrisonville, MO 64701
4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849
4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536
9401 N Oak Trfy
Kansas City, MO 64155
Phone (816) 350-6812
9401 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 720-5261
Interoperability endpoints
- tbrundige@direct.dvc.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1154424745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 N OAK TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552233",
"telephone_number": "816-478-1230",
"fax_number": "816-350-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 N OAK TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552233",
"telephone_number": "816-478-1230",
"fax_number": "816-350-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNDIGE",
"first_name": "TYLER",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2002007672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.