Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Kenneth Tipton, PA-C, MPAS

Individual provider Physician Assistant · NPI 1780149948

Bryan Kenneth Tipton, PA-C, MPAS is a Physician Assistant in Powell, Wyoming. Qualified in 2019, 7 years ago. Practices with William H and Carrie Gottsche Foundation, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
7
Licensed in
WY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

777 Avenue H
Powell, WY 82435-2260
Phone: (307) 754-7257
Fax: (307) 754-7217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8185 State Highway 789, Lander, WY 82520-2942 — (307) 206-9300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA827 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PT827 (WY)

Record details

NPI number1780149948
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice William H And Carrie Gottsche Foundation — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Powell