Organization Active NPI

Tyler Medical Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fairbanks, AK
National Provider Identifier
1831623297
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TYLER MEDICAL PRODUCTS, LLC
Practice address
530 Knightsbridge Rd
Fairbanks, AK 99709-2468
Phone
(559) 905-2736
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Dr. Brent Tyler, M.D.
Title
Owner
Phone
(559) 905-2736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

530 Knightsbridge Rd
Fairbanks, AK 99709-2468

Mailing address

530 Knightsbridge Rd
Fairbanks, AK 99709-2468
Phone (559) 905-2736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1831623297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 KNIGHTSBRIDGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092468",
            "telephone_number": "559-905-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 KNIGHTSBRIDGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092468",
            "telephone_number": "559-905-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER MEDICAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-905-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.