Individual provider Active NPI

Brian M. Tyson, M.D.

  • Family Medicine Physician
  • El Centro, CA
National Provider Identifier
1346266269
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88297 Issued in CA
Practice address
2026 N Imperial Ave Ste C
El Centro, CA 92243-1607
Phone
(760) 592-4351
NPI assigned
Jul 14, 2006
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A88297 CA
Family Medicine Physician 207Q00000X A88297 CA Primary

Addresses

Primary practice location

2026 N Imperial Ave Ste C
El Centro, CA 92243-1607

Mailing address

420 Sunflower CT
Brawley, CA 92227-3243
Phone (760) 592-4351

Other practice location 1

207 W Legion Rd
Brawley, CA 92227-7780
Phone (909) 915-5053

Other practice location 2

888 Palm Ave
Imperial Beach, CA 91932-1529
Phone (619) 349-2347

Other practice location 3

630 S Brawley Ave Ste 10
Brawley, CA 92227-3107
Phone (760) 623-1202

Other identifiers 2

IdentifierTypeStateIssuer
00A882970OtherCABLUE SHIELD
00A882970OtherCABCBS OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041115001272 CA Practitioner - Family PracticePractitioner - Internal Medicine 7517921067 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Tyson Medical Inc Family Medicine CurrentSince Oct 7, 2017 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 17, 2012 Accepting new patients
Tyson Medical Inc Family Medicine CurrentSince Oct 7, 2017 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Dec 6, 2014 Accepting new patients
Cep America-California CurrentSince Aug 1, 2012 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Mar 17, 2012 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Family Medicine CurrentSince May 1, 2013 Accepting new patients
Heart Wellness Clinic Inc. CurrentSince Jan 10, 2018 Accepting new patients
Cogent Healthcare of Montana P C Family Medicine Past Accepting new patients
Cogent Healthcare of California, PC Family Medicine Past Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

630 S Brawley Ave
Ste 10
Brawley, CA 92227
Phone (760) 623-1202

630 S Brawley Ave
Ste 9
Brawley, CA 92227
Phone (760) 623-1202

400 Mary Ave
Calexico, CA 92231

400 Mary Ave
Ste 2
Calexico, CA 92231
Phone (760) 592-4351

400 Mary Ave
Ste A
Calexico, CA 92231

1044 Cherry Valley Blvd
Calimesa, CA 92320
Phone (760) 592-4351

1044 Cherry Valley Blvd
#430
Calimesa, CA 92320
Phone (760) 592-4351

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

2026 N Imperial Ave
Ste D
El Centro, CA 92243
Phone (323) 745-7700

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

888 Palm Ave
Imperial Beach, CA 91932
Phone (619) 349-2347

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

9333 Base Line Rd
Ste 190
Rancho Cucamonga, CA 91730
Phone (909) 755-5166

9333 Base Line Rd
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 757-6561

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1346266269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUNFLOWER CT",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273243",
            "telephone_number": "760-592-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N IMPERIAL AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431607",
            "telephone_number": "760-592-4351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 W Legion Rd",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922277780",
            "country_code": "US",
            "telephone_number": "909-915-5053",
            "fax_number": "909-915-5053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Imperial Beach",
            "state": "CA",
            "postal_code": "919321529",
            "country_code": "US",
            "telephone_number": "619-349-2347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 S Brawley Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922273107",
            "country_code": "US",
            "telephone_number": "760-623-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A88297",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A882970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF CA",
            "identifier": "00A882970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.