Mr Brian C Tyler, MD | |
401 Mulberry St Sw, Lenoir, NC 28645-5463 | |
(828) 757-5509 | |
(828) 757-5538 |
Full Name | Mr Brian C Tyler |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 401 Mulberry St Sw, Lenoir, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811969140 | NPI | - | NPPES |
891251F | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9601121 (North Carolina) | Primary |
Entity Name | Angel Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497753651 PECOS PAC ID: 9638253297 Enrollment ID: O20090312000353 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian C Tyler, MD Po Box 710, Mulberry Pediatrics, Lenoir, NC 28645-0710 Ph: (828) 757-5509 | Mr Brian C Tyler, MD 401 Mulberry St Sw, Lenoir, NC 28645-5463 Ph: (828) 757-5509 |
Andra Godsoe Kunkle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave Sw, Suite C, Lenoir, NC 28645 Phone: 828-757-5509 Fax: 828-757-5538 | |
Christopher Randolph Clapp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3431 Morganton Blvd Sw, Lenoir, NC 28645 Phone: 828-758-9177 Fax: 828-758-4755 | |
Elizabeth Paige Darnell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 906 College Ave Sw # C, Lenoir, NC 28645 Phone: 828-757-5509 | |
Hallie Loiacono, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave Sw Ste C, Lenoir, NC 28645 Phone: 828-757-5509 |