DR. BRITTON EDGETT TISDALE M.D. B.SC.PHM. NPI 1679888606

NPI Information

  • NPI: 1679888606
  • Provider Name: DR. BRITTON EDGETT TISDALE, M.D., B.SC.PHM.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36 NATURE COVE CT
    AMHERST, NY
    ZIP 14221
  • Phone: (716) 319-8113

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NPI Details

DR. Britton Edgett Tisdale, M.D., B.SC.PHM. is an urology in Amherst, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Britton Edgett Tisdale, M.D., B.SC.PHM. NPI is 1679888606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36 NATURE COVE CT
AMHERST, NY
ZIP 14221-978
Phone: (716) 319-8113

The NPI 1679888606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2010 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology0116021688VIRGINIANo
2208800000XUrology003851NEW YORKNo
3208800000XUrology271542NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13383479MEDICAIDNEW YORK
2533379001OTHERNEW YORKBLUE CROSS
329695201OTHERNEW YORKUNIVERA
4652569OTHERNEW YORKWELLCARE
51916947OTHERNEW YORKIHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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