WILLIAM ALEXANDER TIDWELL LUCOM MED STUDENT
NPI 1619762895
Student in an Organized Health Care Education/Training Program in Lynchburg, VA

Q: What is William Tidwell's NPI number?

The NPI number for William Tidwell is 1619762895. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is William Tidwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for William Tidwell was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 April 10, 2025

LUCOM 306 LIBERTY VIEW LANE, LYNCHBURG, VA 24502(434) 592-6400 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About William Alexander Tidwell Lucom Med Student NPPES

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

WILLIAM ALEXANDER TIDWELL LUCOM MED STUDENT (NPI 1619762895) is an individual student in an organized health care education/training program in Lynchburg, Virginia and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1619762895

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWILLIAM ALEXANDER TIDWELLCredential: LUCOM MED STUDENT

Location AddressLUCOM 306 LIBERTY VIEW LANELynchburg, VA 24502

Mailing Address1600 Wards Ferry Rd Apt 706Lynchburg, VA 24502-6401 · (980) 349-0527 · Fax (980) 349-0527

Phone(434) 592-6400

Sole ProprietorNo

Enumeration DateApril 10, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1619762895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

LUCOM 306 LIBERTY VIEW LANE, Lynchburg, VA 24502

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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 William Tidwell's NPI number?

The NPI number for William Tidwell is 1619762895. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is William Tidwell located?

William Tidwell practices at Lucom 306 Liberty View Lane, Lynchburg, VA 24502. The listed phone number is (434) 592-6400.

What is William Tidwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Tidwell was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.