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MATTHEW TRISTAN DOUGHERTY
NPI 1184517302
Physician Assistant in Fort Bliss, TX

Active since May 29, 2025
11335 SSG SIMS ST, FORT BLISS, TX 79918(850) 545-8528 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Tristan Dougherty NPPES

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

MATTHEW TRISTAN DOUGHERTY (NPI 1184517302) is an individual physician assistant in Fort Bliss, Texas and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1184517302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW TRISTAN DOUGHERTY
Location Address11335 SSG SIMS STFort Bliss, TX 79918-8033
Mailing Address4430 Missouri AveFort Leonard Wood, MO 65473-9098 · (850) 545-8528
Phone(850) 545-8528
Sole ProprietorNo
Enumeration DateMay 29, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1184517302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11335 SSG SIMS ST, Fort Bliss, TX 79918
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Other Providers at the Same Location NPPES 20

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

LEROY MEDRANO AUD
Audiologist
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (765) 299-1785
ALEXIS R DEKEYZER PA-C
Physician Assistant
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 787-0173
COSME BELMONTE
Military Health Care Provider
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-2273
KATHRYN HOWARD PSYD
Psychologist (Clinical)
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-2273
STEVEN ALEX CALDER DO
Family Medicine
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-2273
JULIA GONZALEZ
Specialist/Technologist, Other
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-1321
RAYMOND OBERLE PA-C
Physician Assistant
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-1260
RICARDO FERNANDEZ BSN
Registered Nurse (Case Management)
11335 SSG SIMS ST
FORT BLISS, TX 79918
El Paso County (915) 742-1062

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 Dougherty's NPI number?

The NPI number for Matthew Dougherty is 1184517302. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Matthew Dougherty located?

Matthew Dougherty practices at 11335 Ssg Sims St, Fort Bliss, TX 79918. The listed phone number is (850) 545-8528.

What is Matthew Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Matthew Dougherty was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.