MR. TYRONE CRADDOCK
NPI 1205472396
Private Vehicle in Bridgeport, CT

Q: What is Tyrone Craddock's NPI number?

The NPI number for Tyrone Craddock is 1205472396. It was assigned to this individual provider in the NPPES registry on November 23, 2019.

Q: What is Tyrone Craddock's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyrone Craddock was last updated on November 23, 2019. 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 November 23, 2019

47 WOODLAWN AVE, BRIDGEPORT, CT 06606(860) 600-3132 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Tyrone Craddock NPPES

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

MR. TYRONE CRADDOCK (NPI 1205472396) is an individual private vehicle provider in Bridgeport, Connecticut, licensed in Connecticut (347C00000X) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1205472396

Entity TypeIndividualMale

Primary Taxonomy347C00000X

Provider Legal NameMR. TYRONE CRADDOCK

Location Address47 WOODLAWN AVEBridgeport, CT 06606-2962

Mailing Address47 Woodlawn AveBridgeport, CT 06606-2962 · (860) 600-3132

Phone(860) 600-3132

Sole ProprietorYes

Enumeration DateNovember 23, 2019

✔ NPI 1205472396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPrivate VehicleTransportation Services

Taxonomy Code347C00000X

License✔ Licensed in CT · 347C00000X

Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Also ListedDriverTaxonomy 172A00000X · License 347C00000X (FL)

47 WOODLAWN AVE, Bridgeport, CT 06606

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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.

MY PERSONAL DRIVER

Private Vehicle

47 WOODLAWN AVE
BRIDGEPORT, CT 06606

Greater Bridgeport Planning Region (860) 600-3132

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 Tyrone Craddock's NPI number?

The NPI number for Tyrone Craddock is 1205472396. It was assigned to this individual provider in the NPPES registry on November 23, 2019.

Where is Tyrone Craddock located?

Tyrone Craddock practices at 47 Woodlawn Ave, Bridgeport, CT 06606. The listed phone number is (860) 600-3132.

What is Tyrone Craddock's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Tyrone Craddock was last updated on November 23, 2019. 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.