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General NPI Number Information
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NPI Number | 1265973564
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Entity Type | Individual
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Provider Name | TYLER BRILEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 240 SUMMIT BOULEVARD STE. 200
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City | BIRMINGHAM
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State | AL
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Zip | 35243
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Country | US
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Telephone | 659-208-1400
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Fax | 659-208-2314
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Provider Business Mailing Address
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Address Line | 240 SUMMIT BLVD STE 200
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City | VESTAVIA
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State | AL
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Zip | 35243-3101
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Country | US
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Telephone | 659-208-1400
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Fax | 659-208-2314
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | U5079
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD.50553
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License Number State | AL
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