Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Douglas Brodeur

Individual provider Physician Assistant · NPI 1023812237

Tyler Douglas Brodeur is a Physician Assistant in Mangonia Park, Florida. Qualified in 2025, 1 year ago. Practices with Tenet Florida Physician Services II, LLC, a 101-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

901 45th St
Mangonia Park, FL 33407-2413
Phone: (561) 844-5255
Fax: (561) 844-5245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120211 (FL)

Record details

NPI number1023812237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tenet Florida Physician Services Ii, Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mangonia Park