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

Tyler Bridge

Individual provider Internal Medicine Physician · NPI 1720405731

Tyler Bridge is an Internal Medicine in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2014
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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-6969

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 62132 (MN)

Record details

NPI number1720405731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing addressPo Box 1309, Ms21110q, Minneapolis, MN 55440-1309

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park