Individual provider Active NPI

Tyler Braile, CRPS100323-A

  • Peer Specialist
  • Miami, FL
National Provider Identifier
1790665354
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CRPS100323-A Issued in FL
Practice address
15564 SW 127TH Ave Apt 307
Miami, FL 33177-1440
Phone
(888) 425-4605
NPI assigned
Sep 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPS100323-A FL Primary

Addresses

Primary practice location

15564 SW 127TH Ave Apt 307
Miami, FL 33177-1440

Mailing address

4739 University Way NE # 2032
Seattle, WA 98105-4412
Phone (888) 425-4605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRPS100323-AFLMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1790665354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 UNIVERSITY WAY NE # 2032",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054412",
            "telephone_number": "888-425-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15564 SW 127TH AVE APT 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771440",
            "telephone_number": "888-425-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAILE",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "CRPS100323-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "FL",
            "license": "CRPS100323-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.