Tyren J Bratvold, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH00003571 Issued in WA

Practice address

628 3Rd St SE
Puyallup, WA 98372-3208

Phone

(253) 845-6636

Fax

(253) 770-1152

NPI assigned

May 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Health Chiropractic, Inc.

  • Health Service Clinic/Center
  • Puyallup, WA
  • NPI 1003094509
  Medicare reassignment Authorized official
• About Your Health Inc PS

  • Chiropractor
  • Lakewood, WA
  • NPI 1043432370
  NPD (past)
• Premier Chiropractic

  • Chiropractor
  • Burien, WA
  • NPI 1467652925
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1629290705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723208",
            "telephone_number": "253-845-6636",
            "fax_number": "253-770-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723208",
            "telephone_number": "253-845-6636",
            "fax_number": "253-770-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATVOLD",
        "first_name": "TYREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00003571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026490",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Brandaberry, COTA/L
• Kyla Nikole Brant
• Sarah Margaret Brant, MD
• Lacey Brantner, ARNP
• Jaspreet Singh Brar, MD
• Logan Joseph Brau, DO
• Caroline Anne Braun, DNP
• Jason Dean Brayley, M.D.
• Christopher Aaron Breed, M.D.
• Jacalyn Breidenbach, MPT

• Rehabilitation Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.