Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Kyle Rutledge, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1053307272

Bryan Kyle Rutledge, MD is an Ophthalmology in Liverpool, New York. Graduated from University of Virginia School of Medicine in 1989, 37 years ago. Practices with Ophthalmology Medical Service Group Inc, a 27-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Trained at
University of Virginia School of Medicine
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone: (315) 445-8166
Fax: (315) 445-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 203254 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 203254 (NY)

Record details

NPI number1053307272
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address200 Greenfield Pkwy, Liverpool, NY 13088-6655

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Ophthalmology Medical Service Group Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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