Nicholas Bohannon, MD
NPI 1568219699 · Student in an Organized Health Care Education/Training Program · Tyler, TX
Enrolled with Medicare as Order and Referring Only - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Bohannon, MD is a Student in an Organized Health Care Education/Training Program provider in Tyler, TX (NPI 1568219699).
Provider details
- NPI number
- 1568219699
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- BP10090362 (TX)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense BP10090362 (TX)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Frequently asked questions
- What is Nicholas Bohannon's NPI number?
- Nicholas Bohannon's National Provider Identifier (NPI) is 1568219699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Bohannon's specialty?
- Nicholas Bohannon is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Nicholas Bohannon located?
- Nicholas Bohannon's practice location on file with NPPES is 11937 US Highway 271, Tyler, TX 75708-3154.
- What is Nicholas Bohannon's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Bohannon is (903) 877-7200.
- Does Nicholas Bohannon accept Medicare?
- Nicholas Bohannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Bohannon's NPI active?
- Yes — Nicholas Bohannon's NPI (1568219699) is active in the NPPES registry as of the last update on 2024-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.