MATTHEW BRUCE MCCLELLAN C.P.O.
NPI 1073134177
Prosthetist in Tyler, TX

Q: What is Matthew Mcclellan's NPI number?

The NPI number for Matthew Mcclellan is 1073134177. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Q: What is Matthew Mcclellan's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mcclellan was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2020

1122 E FRONT ST, TYLER, TX 75702(903) 592-6574(903) 595-3862 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Bruce Mcclellan C.p.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BRUCE MCCLELLAN C.P.O. (NPI 1073134177) is an individual prosthetist provider in Tyler, Texas, licensed in Texas (2047) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1073134177

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameMATTHEW BRUCE MCCLELLANCredential: C.P.O.

Location Address1122 E FRONT STTyler, TX 75702-8414

Mailing Address1122 E Front StTyler, TX 75702-8414 · (903) 592-6574 · Fax (903) 595-3862

Phone(903) 592-6574

Fax(903) 595-3862

Sole ProprietorNo

Enumeration DateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1073134177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in TX · 2047

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Also ListedOrthotistTaxonomy 222Z00000X · License 2047 (TX)

1122 E FRONT ST, Tyler, TX 75702

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE PATRICK MCCLELLAN C.P.O.

Orthotist

1122 E FRONT ST
TYLER, TX 75702

Smith County (903) 592-6574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mcclellan's NPI number?

The NPI number for Matthew Mcclellan is 1073134177. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Matthew Mcclellan located?

Matthew Mcclellan practices at 1122 E Front St, Tyler, TX 75702. The listed phone number is (903) 592-6574.

What is Matthew Mcclellan's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Matthew Mcclellan was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.