TYLER BRALY MD
NPI 1376350587
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Tyler Braly's NPI number?

The NPI number for Tyler Braly is 1376350587. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Q: What is Tyler Braly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Braly was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since December 12, 2024PECOS Enrolled

340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202(317) 274-8157 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Tyler Braly Md NPPES

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

TYLER BRALY MD (NPI 1376350587) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376350587

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER BRALYCredential: MD

Location Address340 W 10TH ST STE 6200Indianapolis, IN 46202-3082

Mailing Address340 W 10th St Ste 6200Indianapolis, IN 46202-3082

Phone(317) 274-8157

Sole ProprietorNo

Enumeration DateDecember 12, 2024

NPPES CertifiedDecember 12, 2024

✔ NPI 1376350587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

340 W 10TH ST STE 6200, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Braly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

GENTRY C DODD MD

Physical Medicine & Rehabilitation