Individual provider Active NPI

Dyllan Tindol, PA-C

  • Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1407664873
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
948 Gruene Rd Ste 120
New Braunfels, TX 78130-7795
Phone
(830) 627-3777
Fax
(830) 627-3778
NPI assigned
Dec 18, 2024
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

948 Gruene Rd Ste 120
New Braunfels, TX 78130-7795

Mailing address

948 Gruene Rd Ste 120
New Braunfels, TX 78130-7795
Phone (830) 627-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214001919 TX Practitioner - Physician Assistant 3173053576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Braunfels Bone and Joint Clinic PAGroup PAC ID 3779555321, 8 clinicians

Practice addresses (Care Compare)

54 Gruene Park Dr
New Braunfels, TX 78130-2460
Phone 8306253481116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gmarcus Franklin M D & Associates PastSince Oct 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dyllan.tindol.1@3406.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1407664873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD STE 120",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307795",
            "telephone_number": "830-627-3777",
            "fax_number": "830-627-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD STE 120",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307795",
            "telephone_number": "830-627-3777",
            "fax_number": "830-627-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDOL",
        "first_name": "DYLLAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.