Active NPI
Oliver Henry Bauer, PSYD
- Psychologist
- Tyndall Afb, FL
National Provider Identifier
1053034835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20043764A
- Practice address
- 340 Magnolia Cir BLDG 1465
Tyndall Afb, FL 32403-5604 - Phone
- (850) 283-7511
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20043764A | IN | Primary |
Addresses
Primary practice location
340 Magnolia Cir BLDG 1465
Tyndall Afb, FL 32403-5604
Mailing address
340 Magnolia Cir BLDG 1465
Tyndall Afb, FL 32403-5604
Phone (850) 283-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043764A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1053034835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAGNOLIA CIR BLDG 1465",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "324035604",
"telephone_number": "850-283-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAGNOLIA CIR BLDG 1465",
"city": "TYNDALL AFB",
"state": "FL",
"postal_code": "324035604",
"telephone_number": "850-283-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "OLIVER",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043764A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyndall Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.