DR. BRIAN M. TYSON (NPI# 1346266269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346266269 |
| Entity Type | Individual |
| Full Name | DR. BRIAN M. TYSON |
| Credential | M.D. |
| Practice Address |
2026 N Imperial Ave Ste C El Centro CA 92243-1607 |
| Mailing Address |
420 Sunflower Ct Brawley CA 92227-3243 |
| Practice Telephone | 7605924351 |
| Mailing Telephone | 7605924351 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A88297 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A88297 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A882970 | 01 |
| CA | BCBS OF CA | 00A882970 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 207 W Legion Rd, Brawley, CA 922277780 | 9099155053 | 9099155053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255891552 | Brian Tyson | Physical Therapist | 3333 Bayshore Blvd Ste 340, Pasadena, TX 77504-1960 | 2019-03-22 |
| 1740664499 | Brian Tyson | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-07-13 |
| Street Address |
2026 N IMPERIAL AVE STE C |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032486 | Wesley E Anderson | Registered Nurse | 2026 N Imperial Ave Ste C, El Centro, CA 92243-1607 | 2020-10-27 |
| 1518570415 | Dawn Michele Kelley-lewis | Nurse Practitioner | 2026 N Imperial Ave Ste C, El Centro, CA 92243-1607 | 2020-08-28 |
| 1376053843 | Tyson Medical Inc | Family Medicine | 2026 N Imperial Ave Ste C, El Centro, CA 92243 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497812895 | Juan C Velazquez | Family Medicine | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2007-01-03 |
| 1366517716 | Jorge Fernando Robles Sr. | Family Medicine | 1501 Ocotillo Dr Ste C, El Centro, CA 92243-4217 | 2006-11-21 |
| 1386727485 | Waqar Arshad Khan | Family Medicine | 1600 S Imperial Ave Ste 1, El Centro, CA 92243-4242 | 2006-10-23 |
| 1689693962 | Clara Padron-spence | Family Medicine | 1503 N Imperial Ave, 204, El Centro, CA 92243-6301 | 2006-07-18 |
| 1417935859 | Benjamin Lehr | Family Medicine | 385 W. Main St., El Centro, CA 92243-4243 | 2006-01-05 |
| 1376053843 | Tyson Medical Inc | Family Medicine | 2026 N Imperial Ave Ste C, El Centro, CA 92243 | 2017-10-10 |
| 1477001857 | Oc Hospitalist Group, Inc | Family Medicine | 1420 Ocotillo Dr Ste B, El Centro, CA 92243-4251 | 2016-09-14 |
| 1891964904 | Tien T Vo | Family Medicine | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRIAN M. TYSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.