Organization Active NPI

Tyler B. Brahm

  • Primary Podiatric Medicine Podiatrist
  • Clearwater, FL
National Provider Identifier
1881878551
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO922 Issued in FL
Legal business name
TYLER B. BRAHM
Practice address
300 Jeffords St
Ste D
Clearwater, FL 33756-3810
Phone
(727) 446-2190
Fax
(727) 446-3350
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Tyler B Brahm, D.P.M.NPI 1942277694
Title
Podiatrist
Phone
(727) 446-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X PO922 FL Primary

Addresses

Primary practice location

300 Jeffords St
Ste D
Clearwater, FL 33756-3810

Mailing address

300 Jeffords St
Ste D
Clearwater, FL 33756-3810
Phone (727) 446-2190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1881878551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-446-2190",
            "fax_number": "727-446-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-446-2190",
            "fax_number": "727-446-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER B. BRAHM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BRAHM",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "727-446-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.