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MR. LARRY E. TIDYMAN PA-C
NPI 1972690345
Physician Assistant - Medical in Benkelman, NE

Active since October 06, 2006
1313 N CHEYENNE ST, BENKELMAN, NE 69021(308) 423-2151(308) 423-2217 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Larry E. Tidyman Pa-c NPPES

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

MR. LARRY E. TIDYMAN PA-C (NPI 1972690345) is an individual medical provider in Benkelman, Nebraska, licensed in Nebraska (343) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1972690345
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. LARRY E. TIDYMANCredential: PA-C
Location Address1313 N CHEYENNE STBenkelman, NE 69021-3074
Mailing AddressPo Box 710Benkelman, NE 69021-0710 · (308) 423-2151 · Fax (308) 423-2217
Phone(308) 423-2151
Fax(308) 423-2217
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1972690345 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 NE · 343
1313 N CHEYENNE ST, Benkelman, NE 69021
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Other Identifiers 5

Other37814NE · Bcbs Of Ne
Medicare UPINP45619NE
Medicaid2287458901KS
Medicare PIN274877NE
Medicare ID-Type Unspecified970023465NE · Railroad Medicare

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUNDY COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2204
CAROL S HOFMAN APRN
Family Medicine
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2204
DR. LORI L STONEHOCKER D.O.
Family Medicine
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2151
JENNIFER MARIE LEITING APRN
Nurse Practitioner (Family)
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2204
DUNDY COUNTY HOSPITAL
Family Medicine
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2204
HO YOUNG KIM MD
Family Medicine
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2670
BRANDY LYNN WALLIN NP
Nurse Practitioner (Family)
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2204
DUNDY COUNTY HOSPITAL
Clinic/Center (Rural Health)
1313 N CHEYENNE ST
BENKELMAN, NE 69021
Dundy County (308) 423-2151

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 Larry Tidyman's NPI number?

The NPI number for Larry Tidyman is 1972690345. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Larry Tidyman located?

Larry Tidyman practices at 1313 N Cheyenne St, Benkelman, NE 69021. The listed phone number is (308) 423-2151.

What is Larry Tidyman'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 Larry Tidyman was last updated on September 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.