BRYSON TUDOR (MD) – Ophthalmology Physician, NPI 1174147284

BRYSON TUDOR (MD) is a healthcare provider. based in Dallas, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. DR.0071560 (CO). The NPI Number for BRYSON TUDOR (MD) is 1174147284

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRYSON TUDOR (MD)
NPI
1174147284
Phone
(970) 478-1911
Address
PO BOX 200426
Enumeration Date
4 June 2020
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
7205241001
Graduation Year
2020 (6 years ago)
PAC ID
5193116945
Group Practice PAC ID
2163315854
Professional Enrollment ID
I20240723003937
Address ID
CO815018180GR1000XAXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

396 OPHTHALMOLOGY in CO

Provider Addresses for BRYSON TUDOR (MD)

  • PO BOX 200426

    DALLAS, TX 753200426

    Phone: (970) 478-1911

    Type: Mailing

  • 1000 WELLINGTON AVE STE A

    GRAND JUNCTION, CO 815018180

    Phone: (970) 478-1911

    Type: Location

  • 2515 Foresight Cir Unit 220

    Grand Junction, CO 815051156

    Phone: (970) 707-5721

    Type: Location

  • 5301 E GRANT RD

    TUCSON, AZ 857122805

    Phone: (520) 324-5095

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,733.

Total Amount is formed as General ($1,733) + Research ($0) + Ownership ($0) = $1,733.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Alcon Vision LLC ($699).

Total Amount

$1,733

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,733

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240723003937IOphthalmologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163315854View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YGA
O P H T H A L M O L O G YCO
O P T O M E T R YCO
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YCO
O P T O M E T R YCO
O P H T H A L M O L O G YCO
O P T O M E T R YCO
O P H T H A L M O L O G YCO

Reviews

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Frequently asked questions

What federal number belongs to BRYSON TUDOR (MD)?
The federal identifier for BRYSON TUDOR (MD) is NPI 1174147284.
Does this profile mean BRYSON TUDOR (MD) is currently active?
Yes — BRYSON TUDOR (MD) appears active in the national provider directory.
Can you summarize BRYSON TUDOR (MD)'s specialty in plain language?
Clinically, the directory lists BRYSON TUDOR (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BRYSON TUDOR (MD)?
The snapshot lists Dallas, Texas for BRYSON TUDOR (MD); download NPPES for the complete set.
How can I contact BRYSON TUDOR (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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