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Active NPI 1134715071 Individual Practitioner Male Practitioner

Tyler Allen Brundridge

Nurse Practitioner • Edgewood, KY

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Tyler Brundridge is a registered Nurse Practitioner practitioner in Edgewood, KY. With approximately 6 years of clinical practice since completing medical education in 2020, Tyler Brundridge provides healthcare services at the registered practice location at 1 MEDICAL VILLAGE DR.

Tyler Brundridge is affiliated with St Elizabeth Medical Center, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasonic guidance for blood vessel access. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593019010
Fax 8593019018
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brundridge (6 Years) 6 Yrs
Edgewood Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
76937 Ultrasonic guidance for blood vessel access
16 12 $35.00 $11.26

Medical Specialties & State Licenses

CMS Verified: 2023-07-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3015580

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.0028121

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License KY 3015580

Definition to come...

Hospital & Practice Group Affiliations

St Elizabeth Medical Center, Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593012237

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Courtney Coffey , PA-C

Physician Assistant

NPI 1003241639

Physician Assistant (Certified)

Dr. Victor Schmelzer , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1013973262

Doctor of Medicine (M.D.)

Dr. Karl Ulicny , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1124085980

Doctor of Medicine (M.D.)

Michael Myers , APRN

Nurse Practitioner

NPI 1174142103

Advanced Practice Registered Nurse

Amanda Hofmeyer , APRN

Nurse Practitioner

NPI 1205487071

Advanced Practice Registered Nurse

Dr. Mario Castillo-Sang , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1225293418

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2020

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

📍
Updated Business Mailing Address December 15, 2020

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

👤
Provider Name / Credentials Updated December 15, 2020

Recorded as TYLER BRUNDRIDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2020

Nurse Practitioner (License #APRN.CNP.0028121 in OH)

🟢
Initial NPI Registration & Enumeration December 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134715071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2020
Last Update: July 24, 2023
Sole Proprietor: Yes

Mailing Address

1 Medical Village Dr

Edgewood, KY 410173403

Phone: 8593012000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.