Individual
DR. TYLER JAMES BROLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1458 W POPLAR AVE STE 100, COLLIERVILLE, TN 38017-0630
(901) 759-3100
(901) 759-3196
Mailing address
1400 S. GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24906
MS
207X00000X
Orthopaedic Surgery Physician
Primary
55799
TN
207X00000X
Orthopaedic Surgery Physician
MD457009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005234353
—
MS
05
—
05234353
—
MS
05
—
100220409
—
MS
05
—
221116001
—
AR
05
—
Q029821
—
TN
Enumeration date
04/18/2011
Last updated
10/05/2022
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