Tyler Bradshaw Thompson
Military Health Care Provider

Address: 34, Farenholt Ave, San Diego, CA 92134-0001
Phone: 6195327962

Tyler Bradshaw Thompson (NPI# 1083275762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083275762
Entity Type Individual
Full Name Tyler Bradshaw Thompson
Credential IDC
Gender Male
Practice Address 34, Farenholt Ave
San Diego
CA 92134-0001
Practice Telephone 6195327962
Mailing Address 10061 Rio San Diego Dr Apt 302
San Diego
CA 92108-5659
Mailing Telephone 7404245556
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-06-24
Last Update Date 2019-06-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 171000000X Military Health Care Provider Other Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
59672019 OTHER MILITARY

Providers with the same name

NPI Name Taxonomy Address Enumeration
1306486733 Tyler Thompson Behavior Technician 7011 Campus Dr Ste 205, Colorado Springs, CO 80920-3104 2020-01-14
1770141004 Tyler Joseph Thompson Student in an Organized Health Care Education/Training Program 309 E 2nd St, Pomona, CA 91766-1854 2019-06-01
1588137251 Tyler Michael Thompson Registered Nurse 6019 Walnut Grove Rd, Memphis, TN 38120-2113 2019-01-06
1215411681 Tyler Thompson Physical Therapy Assistant 245 Sycamore St, Sauk City, WI 53583-1013 2018-09-20
1033587530 Tyler Mcpherson Thompson Pharmacist 200 Glynn Isle, Brunswick, GA 31525-2929 2015-09-14
1093183667 Tyler Thompson Pharmacist 3350 E Princess Anne Rd, Norfolk, VA 23502-1564 2015-09-12
1730555624 Tyler Thompson Pharmacist 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2015-08-14
1467845578 Tyler Jay Thompson Specialist/Technologist 206 S Elmwood Ave, Traverse City, MI 49684-2326 2015-03-13
1194113530 Tyler Thompson Case Manager/Care Coordinator 121 Sawgrass Pt, Harrison, AR 72601-3072 2015-01-08
1639501380 Tyler Thompson Nurse Practitioner 427 Highway 51 N, Brookhaven, MS 39601-2350 2013-08-05
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629692389 Christopher Matey Military Health Care Provider 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 2020-05-29
1982225769 Jin Ah Kim Military Health Care Provider Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson Military Health Care Provider 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1992366587 Darion Pegues Military Health Care Provider 3530 Kelsey St, San Diego, CA 92124-3516 2019-06-24
1558924274 Nathan Alley-byrd Military Health Care Provider Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-18
1013570290 Mckennan A Cook Military Health Care Provider Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 2019-04-15
1295298172 James Gill Military Health Care Provider 2825 Shoup Dr, San Diego, CA 92110-4866 2019-04-09
1093274201 Bj Zhou Osterberger Military Health Care Provider Naval Medical Center San Diego 3400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-03-18
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Office Location

Street Address 34, FARENHOLT AVE
City SAN DIEGO
State CA
Zip Code 92134-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.