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M ALEGRA TYLER PA-C
NPI 1205889573
Physician Assistant - Medical in Bangor, ME

Active since May 18, 2006
360 BROADWAY, BANGOR, ME 04401(207) 907-3000 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Dec 19, 2019 (2 updates tracked since 2019).

About M Alegra Tyler Pa-c NPPES

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

M ALEGRA TYLER PA-C (NPI 1205889573) is an individual medical provider in Bangor, Maine, licensed in Maine (PA-483) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205889573
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameM ALEGRA TYLERCredential: PA-C
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-3000
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1205889573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ME · PA-483
360 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

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.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
ROBERT SPENCER
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1000
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155

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 M Tyler's NPI number?

The NPI number for M Tyler is 1205889573. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is M Tyler located?

M Tyler practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3000.

What is M Tyler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for M Tyler was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.