Tyler Bagley Vereen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2012-01881 Issued in NC

Practice address

15 Facility Dr
Clyde, NC 28721-9438

Phone

(828) 452-2211

Fax

(828) 452-4421

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tyler Allison Bagley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20223/brand/1/csg/1/fhir/r4
• Direct secure messaging: tyler.vereen.1@20223.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haywood Pediatric and Adolescent Medicine Group, P.a.

  • Pediatric Adolescent Medicine Physician
  • Clyde, NC
  • NPI 1245231364
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1043419666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-2211",
            "fax_number": "828-452-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FACILITY DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219438",
            "telephone_number": "828-452-2211",
            "fax_number": "828-452-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEREEN",
        "first_name": "TYLER",
        "middle_name": "BAGLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL29898",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-01881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "BAGLEY",
            "middle_name": "ALLISON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Transylvania Community Hospital, Inc.
• Carol Glenn Trent Jr., M.D.
• Tracey Howard Truesdale, PHARMD
• Jenny Leigh Van Winkle, M.D.
• Joseph David Varner, DO
• Leonard Paul Verges, M.D.
• Courtney Atkins Villasuso, PA-C
• Julia Dianne Visosky-Connor, PHYSICAL THERAPIST
• Stephen Jay Wall, M.D.
• Morrill Harrington Weaver, M.D.

• Pediatrics Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.