Tyler Brueckman, PA-C
NPI 1417780545 · Physician Assistant · Dayton, OH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Brueckman, PA-C is a Physician Assistant provider in Dayton, OH (NPI 1417780545).
Provider details
- NPI number
- 1417780545
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 50-008947 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 70 Weller DrTipp City, OH 45371-3306Phone: (937) 669-0909Fax: (937) 669-4050
- 2066 W Main St Ste 130Xenia, OH 45385-2882Phone: (937) 372-7583
Registry dates
- Enumerated
- 2024-08-23
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Tyler Brueckman's NPI number?
- Tyler Brueckman's National Provider Identifier (NPI) is 1417780545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Brueckman's specialty?
- Tyler Brueckman is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tyler Brueckman located?
- Tyler Brueckman's practice location on file with NPPES is 3205 Woodman Dr, Dayton, OH 45420-1143.
- What is Tyler Brueckman's phone number?
- The practice phone number listed in the NPPES registry for Tyler Brueckman is (937) 298-4417.
- Does Tyler Brueckman accept Medicare?
- Tyler Brueckman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Brueckman's NPI active?
- Yes — Tyler Brueckman's NPI (1417780545) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.