Organization Active NPI

Tyler Urgent Care LLP

  • Emergency Medicine Physician
  • Tyler, TX
National Provider Identifier
1053442368
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
TYLER URGENT CARE LLP
Practice address
1809 Capital Dr
Tyler, TX 75701-8438
Phone
(903) 509-4499
Fax
(903) 509-4490
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Brad Robertson, MD
Title
General Partner
Phone
(903) 509-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1809 Capital Dr
Tyler, TX 75701-8438

Mailing address

1809 Capital Dr
Tyler, TX 75701-8438
Phone (903) 509-4499

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1053442368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CAPITAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018438",
            "telephone_number": "903-509-4499",
            "fax_number": "903-509-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CAPITAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018438",
            "telephone_number": "903-509-4499",
            "fax_number": "903-509-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER URGENT CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "903-509-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.