Search › Ohio › 363A00000X
Tyler Brueckman, PA-C
NPI 1417780545 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3205 Woodman Dr
Dayton, OH 45420 - Phone
- (937) 298-4417
- Fax
- (937) 298-8260
- Organisation at this address
- Orthopaedic Institute Of Dayton Inc
Beacon Orthopaedics & Sports Medicine LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Additional practice sites
- 70 Weller Dr, Tipp City, OH
- 2066 W Main St Ste 130, Xenia, OH
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio