Tyler Brooks, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

RTO000265 Issued in PA

Practice address

1701 27TH St E
Bradenton, FL 34208-7831

Phone

(941) 747-3031

NPI assigned

Mar 22, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1851753685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E CHESTNUT ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170388960",
            "telephone_number": "717-865-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 27TH ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087831",
            "telephone_number": "941-747-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TYLER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RTO000265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Ira Brodsky, DO
• Diana Bronstein, DDS
• Brookdale Senior Living Communities, Inc.
• Brooks Management
• Brooks Management Inc
• Victoria Marie Broome, PHARM D.
• John R. Broshears, MD
• Christine Brotchi, APRN, FNP-C
• Ashley Brower, DNP, APRN, FNP-BC
• Ariel Brown, MOTR/L

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.