Active NPI
Tyler Clay Ulmer, DO
- Family Medicine Physician
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U2347
- Practice address
- 1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535 - Phone
- (830) 258-7762
- NPI assigned
- May 27, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | U2347 | TX | Primary |
Addresses
Primary practice location
1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Mailing address
1331 Bandera Hwy Ste 4
Kerrville, TX 78028-9535
Phone (830) 258-7762
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3540 Hwy 16 S
Suite 1D
Bandera, TX 78003-3560
Phone (830) 522-2002
Hospital & facility affiliations
- Peterson Home Care
- Peterson Regional Medical Center
- Lavaca Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U2347 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lavaca Hospital District | Current | Accepting new patients | |
| Peterson Medical Associates | Family Medicine | Current | Accepting new patients |
| Lavaca Hospital District | Current | Accepting new patients |
Locations
3540 State Highway 16 S
Ste 1D
Bandera, TX 78003
Phone (830) 522-2002
1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
1331 Bandera Hwy
Ste 4
Kerrville, TX 78028
Phone (830) 258-7762
1331 Bandera Hwy
Ste 3B
Kerrville, TX 78028
Phone (830) 258-7762
Interoperability endpoints
- tyler.ulmer.1@21041.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Family Medicine
-
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- Emergency Medicine Physician
- Hallettsville, TX
- NPI 1245274471
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- Home Health Agency
- Kerrville, TX
- NPI 1073582656
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1801419627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 BANDERA HWY STE 4",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780289535",
"telephone_number": "830-258-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 BANDERA HWY STE 4",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780289535",
"telephone_number": "830-258-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMER",
"first_name": "TYLER",
"middle_name": "CLAY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U2347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.