MEDICARE: DR. BRANDON RUSSELL TYLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4071	TN

General Provider Information

NPI Number	:	1851221394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON RUSSELL TYLER

Provider Business Mailing Address
First Line	:	891 STONE HEDGE CV
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-7379
Country	:	US
Telephone Number	:	901-493-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	891 STONE HEDGE CV
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-7379
Country	:	US
Telephone Number	:	901-493-1265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ DR. BRANDON RUSSELL TYLER ” Practice Location

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