Individual provider Active NPI

Travis S Tierney, M.D.

  • Neurological Surgery Physician
  • South Miami, FL
National Provider Identifier
1467598003
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME124414 Issued in FL
Practice address
6129 SW 70TH St
South Miami, FL 33143-3451
Phone
(786) 871-6800
Fax
(868) 716-8197
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME124414 FL Primary

Addresses

Primary practice location

6129 SW 70TH St
South Miami, FL 33143-3451

Mailing address

6129 SW 70TH St
South Miami, FL 33143-3451
Phone (786) 871-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802001137 NE Practitioner - Neurosurgery 6103966973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME124414FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Community Hospital CurrentSince Jan 26, 2022 Accepting new patients
St. Mary'S Community Hospital CurrentSince Jan 26, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1467598003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-871-6800",
            "fax_number": "786-871-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-871-6800",
            "fax_number": "868-716-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "TRAVIS",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME124414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.