Tim DO, DO
NPI 1639922131 · Student in an Organized Health Care Education/Training Program · Bristol, TN
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tim DO, DO is a Student in an Organized Health Care Education/Training Program provider in Bristol, TN (NPI 1639922131).
Provider details
- NPI number
- 1639922131
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
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
83% 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
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-06
Frequently asked questions
- What is Tim DO's NPI number?
- Tim DO's National Provider Identifier (NPI) is 1639922131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tim DO's specialty?
- Tim DO 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 Tim DO located?
- Tim DO's practice location on file with NPPES is 208 Medical Park Blvd, Bristol, TN 37620-7343.
- What is Tim DO's phone number?
- The practice phone number listed in the NPPES registry for Tim DO is (432) 989-4050.
- Does Tim DO accept Medicare?
- Tim DO is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tim DO's NPI active?
- Yes — Tim DO's NPI (1639922131) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.