Tyler Richmond Brown (NPI# 1992918452, PAC ID# 6709156276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1992918452 |
| PAC ID by PECOS | 6709156276 |
| Professional Enrollment ID | I20170717003326 |
| Full Name | Tyler Richmond Brown |
| Organization Legal Name | POTENTIAL THERAPY SERVICES LLC |
| Address |
55 Nesbit Dr Bonne Terre MO 63628-1353 |
| Phone Number | 5733589553 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5890065361 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 55 Nesbit Dr, Bonne Terre, MO 63628-1353 | 5733589553 | POTENTIAL THERAPY SERVICES LLC |
| 60 Plaza Dr, Ste Genevieve, MO 63670-1800 | 5736085058 | POTENTIAL THERAPY SERVICES LLC |
| Organization Legal Name | POTENTIAL THERAPY SERVICES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor M Lumsden | Physical Therapy | Potential Therapy Services LLC | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Street Address |
55 NESBIT DR |
| City | BONNE TERRE |
| State | MO |
| Zip | 63628-1353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor M Lumsden | Physical Therapy | Potential Therapy Services LLC | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Glenda C Counts | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Stephanie A Moniz | Family Medicine | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Victoria A Damba | Family Medicine | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Kimberly D Combs | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Elle L Grither | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Kylie Renee Strange | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| April A Brannum | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Ann Heaps | Nurse Practitioner | Primary Care of Bonne Terre LLC | 527 Benham St, Bonne Terre, MO 63628-1205 |
| Ronay Rodgers | Nurse Practitioner | Primary Care of Bonne Terre LLC | 527 Benham St, Bonne Terre, MO 63628-1205 |
| Lauren Danielle Mcintyre | Chiropractic | 60 Nesbit Dr D, Complete Care Chiropractic, Bonne Terre, MO 63628-1347 | |
| Daniel Oliver Reiter | Chiropractic | 21 W School St, Bonne Terre, MO 63628-1509 | |
| Phillip A Brewer | Internal Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Elizabeth A Jones | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| John T Schwent | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Alan E Harris | Diagnostic Radiology | Smith Imaging Inc | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| City | BONNE TERRE |
| Zip Code | 63628 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BONNE TERRE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tyler Richmond Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.