Tyler Allen Brundridge
Tyler Allen Brundridge is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2020, 6 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.
- Years since qualifying
- 6
- Licensed in
- KY, OH
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
1 Medical Village DrEdgewood, KY 41017-3403
Phone: (859) 301-9010
Fax: (859) 301-9018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 3015580 (KY) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence APRN.CNP.0028121 (OH) |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 3015580 (KY) |
Record details
| NPI number | 1134715071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | St Elizabeth Medical Center, Inc — 186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Edgewood
-
Deborah Elaine Bliss, ACNP
1 Medical Village Drive St Elizabeth Healthcare, Edgewood, KY 41017-3403 · (859) 301-2000
-
Mr. Brian Ruschman Burkhardt, ARNP
711 Medical Village Dr, Edgewood, KY 41017 · (859) 301-9010
-
Jacques Nicholas Burress
1 Medical Village Dr, Edgewood, KY 41017-3403 · (859) 757-2927
-
Heidi Ann Ducker, AG-ACNP
20 Medical Village Dr, Edgewood, KY 41017-5401 · (859) 578-5880
-
Matthew Ryan Foulks, APRN-CNP
20 Medical Village Dr, Edgewood, KY 41017-5401 · (859) 344-1512