DR. TYLER NELSON BROWN M.D.
NPI 1790148666
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Tyler Brown's NPI number?

The NPI number for Tyler Brown is 1790148666. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Q: What is Tyler Brown's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Brown was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 March 29, 2016PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-3366(602) 933-4264 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2024, Apr 29, 2024, Jul 3, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Tyler Nelson Brown M.d. NPPES

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

DR. TYLER NELSON BROWN M.D. (NPI 1790148666) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (71591) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790148666

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. TYLER NELSON BROWNCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-3366

Fax(602) 933-4264

Sole ProprietorYes

Enumeration DateMarch 29, 2016

Last NPPES UpdateJuly 30, 20245 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1790148666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 71591

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid210406AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Nelson Brown M.d. 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.

DR. TIMUR RAGHIB M.D.

Hospitalist