Tyler Jacob Brady, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057761 Issued in PA

Practice address

1 Hospital Way
Butler, PA 16001-4670

Phone

(724) 283-6666

NPI assigned

Oct 26, 2015

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 WY, NE2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimball County HospitalGroup PAC ID 5799751004, shared by 4 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kimball Health Services Hospital, Kimball, NE, CCN 281305
• Kimball Health Services Nursing home, CCN 28Z305

Merit-based Incentive Payment System (MIPS)

Final score

87.33 of 100Reported as group

Quality

89.53

Improvement activities

40

Cost

71.73

Merit-based Incentive Payment System (MIPS)

Final score

68.47 of 100Reported as group

Quality

53.04

Promoting interoperability

81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cherry County Hospital

  • Critical Access Hospital
  • Valentine, NE
  • NPI 1144329152
  Medicare reassignment NPD
• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment NPD
• Kimball County Hospital

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Medicare reassignment NPD
• Kimball County Hospital

  • Rural Health Clinic/Center
  • Kimball, NE
  • NPI 1326027160
  Medicare reassignment NPD
• Campbell County Hospital District

  • Internal Medicine Physician
  • Gillette, WY
  • NPI 1710098868
  Medicare reassignment
• Cherry County Hospital

  • Rural Health Clinic/Center
  • Valentine, NE
  • NPI 1033218037
  Medicare reassignment
• Summit Hospitalist Group LLC

  • Hospitalist Physician
  • Cheyenne, WY
  • NPI 1356985600
  Medicare reassignment
• Summit Medical Group, LLC

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1457802993
  Medicare reassignment
• Campbell County Hospital District

  • Anesthesiology Physician
  • Gillette, WY
  • NPI 1417461914
  NPD
• Campbell County Hospital District

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gillette, WY
  • NPI 1881730141
  NPD
• Campbell County Hospital District

  • Community/Retail Pharmacy
  • Gillette, WY
  • NPI 1992874218
  NPD
• Cherry County Hospital

  • Surgery Physician
  • Valentine, NE
  • NPI 1518066513
  NPD

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

• Kimball County Hospital

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Care Compare affiliation
• Kimball County Hospital

  • Rural Health Clinic/Center
  • Pine Bluffs, WY
  • NPI 1629524335

  Hospital

  Care Compare affiliation
• Kimball County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Kimball, NE
  • NPI 1669447223

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1275905606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-283-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TYLER",
        "middle_name": "JACOB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boscovs Department Store LLC
• Bowden Family Chiropractic PC
• Gary Dee Bowden, D.C.
• Rachel Lee Boyd, CRNP
• Patrick Neill Boyle, D.M.D.
• Christine Marie Braho
• Dyane Bratkovich, LSW
• Bravis Enterprises
• Bravis Enterprises Inc
• Bravis Enterprises Inc

• Medical Physician Assistant in Butler, PA
• Providers in Butler, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.

Verify at the official NPI Registry.