JAMES W. TYSON M.D.
NPI 1417030131
Family Medicine in Brevard, NC

Active since October 24, 2006
123 GALLIMORE RD, BREVARD, NC 28712(828) 862-6218(828) 877-5054 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James W. Tyson M.d. NPPES

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

JAMES W. TYSON M.D. (NPI 1417030131) is an individual family medicine provider in Brevard, North Carolina, licensed in North Carolina (16164) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417030131
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES W. TYSONCredential: M.D.
Location Address123 GALLIMORE RDBrevard, NC 28712-9520
Mailing Address1125 Country Club RdBrevard, NC 28712-9515 · (828) 862-6218 · Fax (828) 877-5054
Fax(828) 877-5054
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417030131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 16164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
123 GALLIMORE RD, Brevard, NC 28712

Other Identifiers 6

Medicare UPINC80580NC
Medicaid8984450NC
Other0637660001NC · Palmetto Gov. Services
Other84450NC · Blue Cross Blue Shield
Other01-70391NC · United Healthcare
Medicare ID-Type Unspecified201282BNC

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 James Tyson's NPI number?

The NPI number for James Tyson is 1417030131. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is James Tyson located?

James Tyson practices at 123 Gallimore Rd, Brevard, NC 28712. The listed phone number is (828) 862-6218.

What is James Tyson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for James Tyson 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.