TYLER BRADSHAW THOMPSON IDC
NPI 1083275762
Military Health Care Provider in San Diego, CA

Q: What is Tyler Thompson's NPI number?

The NPI number for Tyler Thompson is 1083275762. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Tyler Thompson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Thompson was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 24, 2019

34, FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-7962 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Tyler Bradshaw Thompson Idc NPPES

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

TYLER BRADSHAW THOMPSON IDC (NPI 1083275762) is an individual military health care provider provider in San Diego, California and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1083275762

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameTYLER BRADSHAW THOMPSONCredential: IDC

Location Address34, FARENHOLT AVESan Diego, CA 92134-0001

Mailing Address10061 Rio San Diego Dr Apt 302San Diego, CA 92108-5659 · (740) 424-5556

Phone(619) 532-7962

Sole ProprietorNo

Enumeration DateJune 24, 2019

✔ NPI 1083275762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

34, FARENHOLT AVE, San Diego, CA 92134

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Other Identifiers 1

Other59672019Military

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 Tyler Thompson's NPI number?

The NPI number for Tyler Thompson is 1083275762. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Tyler Thompson located?

Tyler Thompson practices at 34, Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-7962.

What is Tyler Thompson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Tyler Thompson was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.