Active NPI
Britton Edgett Tisdale, M.D., B.SC.PHM.
- Urology Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 271542
- Practice address
- 36 Nature Cove CT
Amherst, NY 14221-1978 - Phone
- (716) 319-8113
- NPI assigned
- Aug 14, 2010
- Last updated
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0116021688 | VA | |
| Urology Physician | 208800000X | 003851 | NY | |
| Urology Physician | 208800000X | 271542 | NY | Primary |
Addresses
Primary practice location
36 Nature Cove CT
Amherst, NY 14221-1978
Mailing address
180 Vine Street South
Suite 202
St. Catharines, ONTARIO L2R 7P3
CA
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 533379001 | Other | NY | BLUE CROSS |
| 652569 | Other | NY | WELLCARE |
| 1916947 | Other | NY | IHA |
| 29695201 | Other | NY | UNIVERA |
| 3383479 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003851 | NY | MD | Urology Physician |
| 0116021688 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Past | Accepting new patients |
Locations
100 High St
Ste C3
Buffalo, NY 14203
Phone (716) 859-5608
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
dba Kaleida Health Outpatient Pharmacy
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
dba UBMD Internal Medicine
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1679888606",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "180 VINE STREET SOUTH",
"address_2": "SUITE 202",
"city": "ST. CATHARINES",
"state": "ONTARIO",
"postal_code": "L2R 7P3"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 NATURE COVE CT",
"city": "AMHERST",
"state": "NY",
"postal_code": "142211978",
"telephone_number": "716-319-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISDALE",
"first_name": "BRITTON",
"middle_name": "EDGETT",
"name_prefix": "Dr.",
"credential": "M.D., B.SC.PHM.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-14",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0116021688",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "003851",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "271542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "533379001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "652569",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1916947",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "29695201",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3383479",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.