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BERNARD ALVAN TISDALE MD
NPI 1124009600
Radiology - Radiation Oncology in Richmond, VA

Active since November 10, 2005
1109 W MARSHALL ST, RICHMOND, VA 23220(804) 257-7337(804) 359-6898 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bernard Alvan Tisdale Md NPPES

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

BERNARD ALVAN TISDALE MD (NPI 1124009600) is an individual radiation oncology provider in Richmond, Virginia, licensed in Virginia (0101040236) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1124009600
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameBERNARD ALVAN TISDALECredential: MD
Location Address1109 W MARSHALL STRichmond, VA 23220-3835
Mailing Address1109 W Marshall StRichmond, VA 23220-3835 · (804) 257-7337 · Fax (804) 359-6898
Phone(804) 257-7337
Fax(804) 359-6898
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124009600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in VA · 0101040236
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1109 W MARSHALL ST, Richmond, VA 23220
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Other Identifiers 1

Medicaid5866740VA

Other Providers at the Same Location NPPES 5

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

CENTRAL VIRGINIA ASSOCIATES OF SURGERY LLC
Surgery
1109 W MARSHALL ST
RICHMOND, VA 23220
Richmond City (804) 503-6879
DR. KENNETH R. FOXX M.D.
Surgery
1109 W MARSHALL ST
RICHMOND, VA 23220
Richmond City (804) 503-6879
BERNARD A. TISDALE, M.D., P.C
Specialist
1109 W MARSHALL ST
RICHMOND, VA 23220
Richmond City (804) 257-7337
COMMONWEALTH CANCER INSTITUTE
Radiology (Radiation Oncology)
1109 W MARSHALL ST
RICHMOND, VA 23220
Richmond City (804) 357-7337
MARCUS WENDELL BROWN
Radiology (Radiation Oncology)
1109 W MARSHALL ST
RICHMOND, VA 23220
Richmond City (804) 257-7337

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 Bernard Tisdale's NPI number?

The NPI number for Bernard Tisdale is 1124009600. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Bernard Tisdale located?

Bernard Tisdale practices at 1109 W Marshall St, Richmond, VA 23220. The listed phone number is (804) 257-7337.

What is Bernard Tisdale's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Bernard Tisdale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.