TYLER M BRZANKALSKI PA-C
NPI 1174337612
Physician Assistant - Surgical in Hartford, CT

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-5022 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, May 22, 2025, Feb 5, 2025 (3 updates tracked since 2025).

About Tyler M Brzankalski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER M BRZANKALSKI PA-C (NPI 1174337612) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (007166) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174337612
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTYLER M BRZANKALSKICredential: PA-C
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-5022
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 5, 2025
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1174337612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 007166
80 SEYMOUR ST, Hartford, CT 06102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler M Brzankalski Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678071115
PECOS Enrollment IDI20250813001301
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Brzankalski's NPI number?

The NPI number for Tyler Brzankalski is 1174337612. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Tyler Brzankalski located?

Tyler Brzankalski practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-5022.

What is Tyler Brzankalski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tyler Brzankalski enrolled in Medicare?

Yes. Tyler Brzankalski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tyler Brzankalski was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.