Individual provider Active NPI

Bryson Tudor, MD

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1174147284
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0071560 Issued in CO
Practice address
1000 Wellington Ave Ste a
Grand Junction, CO 81501-8180
Phone
(970) 478-1911
NPI assigned
Jun 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR.0071560 CO Primary

Addresses

Primary practice location

1000 Wellington Ave Ste a
Grand Junction, CO 81501-8180

Mailing address

PO Box 200426
Dallas, TX 75320-0426
Phone (970) 478-1911

Other practice location 1

2515 Foresight Cir Unit 220
Grand Junction, CO 81505-1156
Phone (970) 707-5721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240723003937 CO Practitioner - Ophthalmology 5193116945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery814

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Jul 15, 2024 Accepting new patients
Total Vision Eye Care Group LLC Ophthalmology CurrentSince Jul 15, 2024 Accepting new patients

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

2515 Foresight Cir
Unit 220
Grand Junction, CO 81505
Phone (970) 256-0400

1190 Bookcliff Ave
Unit 102
Grand Junction, CO 81501
Phone (970) 242-3323

1000 Wellington Ave
Ste B
Grand Junction, CO 81501
Phone (970) 245-5989

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

Interoperability endpoints

  • Direct secure messaging: bryson.tudormd.p5@direct.keec.nextgenshare.com

Organizations & group practices 2

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 4

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1174147284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200426",
            "telephone_number": "970-478-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180",
            "telephone_number": "970-478-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Foresight Cir Unit 220",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051156",
            "country_code": "US",
            "telephone_number": "970-707-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "BRYSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0071560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.