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

Dr. Tyler Brenneman, MD

Individual provider Body Imaging Physician · NPI 1134623796

Dr. Tyler Brenneman, MD is a Diagnostic Radiology in Fort Worth, Texas. Qualified in 2018, 8 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group. Licensed in North Carolina and Texas.

Years since qualifying
8
Licensed in
NC, TX
In the registry since
2018
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

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone: (817) 321-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence U2444 (TX)
Body Imaging Physician Taxonomy 2085B0100X · Licence 2023-00724 (NC)

Record details

NPI number1134623796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address816 W Cannon St, Fort Worth, TX 76104-3194

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated

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