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

Individual provider Physician Assistant · NPI 1689271090

Tyrone Dakota Brininger, PA is a Physician Assistant in Cleveland, Ohio. Qualified in 2020, 6 years ago. Practices with Id Consultants, Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3609 Park East Dr Ste 207
Cleveland, OH 44122-4309
Phone: (216) 360-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 184 Erieview Dr, Eastlake, OH 44095-1120 — (440) 415-5561

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006711 (OH)

Record details

NPI number1689271090
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Id Consultants, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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