1. Home
  2. Directory
  3. Tennessee
  4. Bristol
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TYLER R WOODALL MD
NPI 1851755672
Student in an Organized Health Care Education/Training Program in Bristol, TN

Active since April 07, 2016PECOS Enrolled
208 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 989-4050(423) 990-3044 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler R Woodall Md NPPES

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

TYLER R WOODALL MD (NPI 1851755672) is an individual student in an organized health care education/training program in Bristol, Tennessee and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851755672
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER R WOODALLCredential: MD
Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343
Mailing Address208 Medical Park BlvdBristol, TN 37620-7343 · (423) 989-4050 · Fax (423) 990-3044
Phone(423) 989-4050
Fax(423) 990-3044
Sole ProprietorNo
Enumeration DateApril 7, 2016
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1851755672 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.
208 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler R Woodall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MATTHEW RAYESKI
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
JARVIS ETHAN PENNINGTON
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
MADELINE GRACE SHIPLEY
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ANDREA LYNNE HOPKINS M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ROMANY AINGEAL NIGHTINGALE
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH BAKER DO
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH KELLER MD
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 984-4050
BRANDI KAY DAHL PHARMD
Pharmacist
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050

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 Tyler Woodall's NPI number?

The NPI number for Tyler Woodall is 1851755672. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Tyler Woodall located?

Tyler Woodall practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.

What is Tyler Woodall's specialty?

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

Is Tyler Woodall enrolled in Medicare?

Yes. Tyler Woodall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Woodall was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.