Tyrone Dakota Brininger, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006711 Issued in OH

Practice address

3609 Park East Dr Ste 207
Cleveland, OH 44122-4309

Phone

(216) 360-0456

NPI assigned

Oct 8, 2020

Last updated

May 24, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Id Consultants, IncGroup PAC ID 7012995574, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Id Consultants Inc

  • Infusion Therapy Clinic/Center
  • Beachwood, OH
  • NPI 1124058920
  Medicare reassignment Care Compare group
• Infusion Associates of Ohio LLC

  • Infusion Therapy Clinic/Center
  • Toledo, OH
  • NPI 1144966466
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1689271090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ERIEVIEW DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Erieview Dr",
            "address_purpose": "LOCATION",
            "city": "Eastlake",
            "state": "OH",
            "postal_code": "440951120",
            "country_code": "US",
            "telephone_number": "440-415-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRININGER",
        "first_name": "TYRONE",
        "middle_name": "DAKOTA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyroneb@idconsultants.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3609 Park East Dr Ste 207",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha L Brigotti, CNP
• Judy Rae Brimacombe, OTR/L
• Eunetta Brimage
• William Brimage, PSR
• Jeffrey D Brindza
• Megan Brinker
• Antiquea Brinkley
• Amie Marie Brinkman, FNP-C
• Ashley Marie Brinkman, CNP
• Jennifer L Brinkman, MSN, APRN, AGCNS-BC,

• Physician Assistant in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.