Hilliard Tyler Thomas Brydges, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MDRE.ML.61544990 Issued in WA

Practice address

325 9TH Avenue
Box 359796
Seattle, WA 98104

Phone

(206) 744-2868

NPI assigned

Mar 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Tyler Hilliard Thomas Brydges Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1770343154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 9TH AVENUE",
            "address_2": "BOX 359796",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042642",
            "telephone_number": "206-744-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVENUE",
            "address_2": "BOX 359796",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-744-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 E Concord St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182642",
            "country_code": "US",
            "telephone_number": "310-218-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYDGES",
        "first_name": "HILLIARD",
        "middle_name": "TYLER THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MDRE.ML.61544990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "BRYDGES",
            "middle_name": "HILLIARD THOMAS",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryce Shoemaker Ma LMHC PLLC
• Amy Lauren Bryce, ARNP
• Elizabeth Bryce, CRNA
• Sabina B Brych
• Megan M Bryck, DMD
• Ninotchka B. Brydges, ARNP
• Suzanne Michelle Brydges, RN
• Jennifer Brysacz, PSY.D.
• Chloe Bryson-Cahn
• Phoebe Bryson-Cahn

• Plastic Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.

Verify at the official NPI Registry.