Individual provider Active NPI

Bradley Dene Tym, MD

  • Anesthesiology Physician
  • Chico, CA
National Provider Identifier
1548485832
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G79370 Issued in CA
Practice address
121 Raley Blvd
Chico, CA 95928-8347
Phone
(530) 230-2000
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G79370 CA Primary

Addresses

Primary practice location

121 Raley Blvd
Chico, CA 95928-8347

Mailing address

121 Raley Blvd
Chico, CA 95928-8347
Phone (530) 230-2000

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
I20110107000703 CA Practitioner - Anesthesiology 1951590884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Anesthesiology Partners a Medical CorporationGroup PAC ID 9234238809, 25 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3386
Phone (530) 332-7330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.74 of 100Reported as group
Quality
50.06
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79370CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Chico Anesthesiology CurrentSince Sep 1, 2003 Accepting new patients
Northstate Anesthesiology Partners a Medical Corporation Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic Associates of Northern California a Medical Group CurrentSince Dec 16, 2024 Accepting new patients
Enloe Medical Center Past Accepting new patients
Northstate Anesthesiology Partners Anesthesiology Past Accepting new patients

Locations

121 Raley Blvd
Chico, CA 95928
Phone (530) 230-2000

131 Raley Blvd
Chico, CA 95928
Phone (530) 897-4500

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1548485832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-230-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RALEY BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-230-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYM",
        "first_name": "BRADLEY",
        "middle_name": "DENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G79370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.