IndividualActive
Bernard Tisdale, MD
NPI 1124009600 · Radiation Oncology Physician · Richmond, VA
Provider details
- NPI number
- 1124009600
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101040236 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1109 W Marshall St
Richmond, VA 23220-3835
Phone: (804) 257-7337
Fax: (804) 359-6898
Approximate (ZIP-level) locationGet directions
Mailing address
1109 W Marshall St
Richmond, VA 23220-3835
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.