NPIMap

Individual provider Active NPI

Tyler Patrick O'Bryan, MD

  • Family Medicine Physician
  • Winooski, VT
National Provider Identifier
1750867768
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0015603 Issued in VT
Practice address
32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone
(802) 655-4422
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Burlington Inc 84 clinicians

Practice addresses (Care Compare)

32 Malletts Bay Ave
Suite B
Winooski, VT 05404-1960
Phone (802) 655-4422

Hospital & facility affiliations

  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Uvmhn Home Health and Hospice Hospice, Colchester, VT, CCN 471500
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211214001963 VT Practitioner - Family Practice 2163812728 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042.0015603VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Burlington Inc Family Medicine CurrentSince Dec 4, 2021 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Dec 4, 2021 Accepting new patients
Community Health Centers of Burlington Inc Past Accepting new patients

Locations

789 Pine St
Burlington, VT 05401
Phone (802) 264-1052

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

32 Malletts Bay Ave
Winooski, VT 05404
Phone (802) 655-4422

32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tyler.obryan.p1@direct.chcb.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042.0015603 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960

Mailing address

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Other practice location 1

789 Pine St
Burlington, VT 05401-4924
Phone (802) 655-4422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2025.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1750867768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE STE B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE STE B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-655-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "TYLER",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0015603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

Verify at the official NPI Registry.