Active NPI
Tyson Don Brierley, D.O.
- Family Medicine Physician
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0055450
- Practice address
- 40 Arch St
Johnson City, NY 13790-2102 - Phone
- (607) 763-6075
- Fax
- (607) 763-5234
- NPI assigned
- May 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DR.0055450 | CO | Primary |
Addresses
Primary practice location
40 Arch St
Johnson City, NY 13790-2102
Mailing address
750 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4340
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2101 Ken Pratt Blvd
Suite 200
Longmont, CO 80501-6568
Phone (303) 649-3500
41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055450 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
750 Warner Dr
Golden, CO 80401
Phone (303) 925-4137
11700 W 2nd Pl
Ste 210
Lakewood, CO 80228
Phone (720) 321-8080
2101 Ken Pratt Blvd
Ste 200
Longmont, CO 80501
Phone (303) 649-3500
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Gastroenterology Physician
- Westminster, CO
- NPI 1710233523
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1194085803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 WARNER DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015297",
"telephone_number": "303-925-4340",
"fax_number": "303-925-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ARCH ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902102",
"telephone_number": "607-763-6075",
"fax_number": "607-763-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIERLEY",
"first_name": "TYSON",
"middle_name": "DON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-29",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0055450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.