National Provider Identifier
Britton Edgett Tisdale, M.D., B.SC.PHM.
Britton Edgett Tisdale, M.D., B.SC.PHM. is listed in the NPPES registry with a primary specialty of Urology Physician in Amherst, NY and a listed phone number of (716) 319-8113.
Profile Overview
- NPI
- 1679888606
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- August 14, 2010
- Last Updated
- April 08, 2025
Practice Location
- 36 Nature Cove Ct
- Amherst, NY 14221-1978
Phone: (716) 319-8113
Mailing Address
- 180 Vine Street South
- Suite 202
- St. Catharines, Ontario 273
- CA
Specialties
- Urology Physician (208800000X)
- Urology Physician (208800000X)
Full Record
- NPI
- 1679888606
- Entity Type
- Individual
- Last Name
- Tisdale
- First Name
- Britton
- Middle Name
- Edgett
- Name Prefix
- Dr.
- Credential
- M.D., B.SC.PHM.
- Mailing Street Address
- 180 Vine Street South
- Mailing Address Line 2
- Suite 202
- Mailing City
- St. Catharines
- Mailing State
- Ontario
- Mailing ZIP Code
- 273
- Mailing Country
- CA
- Practice Street Address
- 36 Nature Cove Ct
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14221-1978
- Practice Country
- US
- Practice Phone
- (716) 319-8113
- Enumeration Date
- August 14, 2010
- Last Updated
- April 08, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X), Urology Physician (208800000X)
- Other Identifiers
- 3383479 (NY), 533379001 (NY, Blue Cross), 29695201 (NY, Univera), 652569 (NY, Wellcare), 1916947 (NY, Iha)