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

Tyler Jacob Bruinsma, MD

Individual provider Pediatrics Physician · NPI 1669110151

Tyler Jacob Bruinsma, MD is a Pediatric Medicine in Cincinnati, Ohio. Graduated from Pennsylvania State University College of Medicine in 2022, 4 years ago. Licensed in Ohio and Pennsylvania.

Years since qualifying
4
Trained at
Pennsylvania State University College of Medicine
Licensed in
OH, PA
In the registry since
2022
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

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.153615 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence MT225360 (PA)

Record details

NPI number1669110151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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