Phinley Bydlinski, CNIM, REEGT

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

4154

Practice address

750 Old Hickory Blvd Ste 150
Brentwood, TN 37027-5387

Phone

(484) 351-8459

NPI assigned

Mar 10, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1952936924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 PARSONS POND DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638868",
            "telephone_number": "678-467-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD STE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275387",
            "telephone_number": "484-351-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYDLINSKI",
        "first_name": "PHINLEY",
        "credential": "CNIM, REEGT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbydlinski@medsurantmonitoring.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 Old Hickory Blvd Ste 150",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370275387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Desdamona Butler, PH.D.
• Callie Grace Butts
• Daniel Butts, MD
• Emily Buzhardt, NP
• Nicole (Bella) Bydlinski
• Dollie Victoria Byron, NP
• Lavarris Byse
• Mark Daechul Byun, FNP-BC
• Carlos Caballero
• Richard Michael Cachia, M.D.

• Electroneurodiagnostic Specialist/Technologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Electroneurodiagnostic Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.