DR. DOROTHY TISDEL MD
NPI 1962255794
General Practice in Eglin Afb, FL

Active since April 10, 2024
307 BOATNER RD, EGLIN AFB, FL 32542(850) 883-8288 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 18, 2025, Jun 10, 2024, Apr 10, 2024 (3 updates tracked since 2024).

About Dr. Dorothy Tisdel Md NPPES

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

DR. DOROTHY TISDEL MD (NPI 1962255794) is an individual general practice provider in Eglin Afb, Florida, licensed in Wisconsin (8649420) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1962255794
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. DOROTHY TISDELCredential: MD
Location Address307 BOATNER RDEglin Afb, FL 32542-1302
Mailing Address307 Boatner RdEglin Afb, FL 32542-1302
Sole ProprietorNo
Enumeration DateApril 10, 2024
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1962255794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 8649420
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
307 BOATNER RD, Eglin Afb, FL 32542

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.

Psychiatry & Neurology (Neurology)
307 BOATNER RD
EGLIN AFB, FL 32542
Dentist
307 BOATNER RD
EGLIN AFB, FL 32542
Pharmacist
307 BOATNER RD
EGLIN AFB, FL 32542
Anesthesiology
307 BOATNER RD
EGLIN AFB, FL 32542
Family Medicine
307 BOATNER RD
EGLIN AFB, FL 32542
Nurse Anesthetist, Certified Registered
307 BOATNER RD
EGLIN AFB, FL 32542
Military Health Care Provider
307 BOATNER RD
EGLIN AFB, FL 32542
Pediatrics
307 BOATNER RD, STE 114
EGLIN AFB, FL 32542

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 Dorothy Tisdel's NPI number?

The NPI number for Dorothy Tisdel is 1962255794. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Dorothy Tisdel located?

Dorothy Tisdel practices at 307 Boatner Rd, Eglin Afb, FL 32542. The listed phone number is (850) 883-8288.

What is Dorothy Tisdel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Dorothy Tisdel was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.