Tyler Bontrager, MD
NPI 1790530061 · Student in an Organized Health Care Education/Training Program · Marietta, GA
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Bontrager, MD is a Student in an Organized Health Care Education/Training Program provider in Marietta, GA (NPI 1790530061).
Provider details
- NPI number
- 1790530061
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
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
- 2024-04-20
- Last updated
- 2024-04-20
- Certified
- 2024-04-20
Frequently asked questions
- What is Tyler Bontrager's NPI number?
- Tyler Bontrager's National Provider Identifier (NPI) is 1790530061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Bontrager's specialty?
- Tyler Bontrager 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 Tyler Bontrager located?
- Tyler Bontrager's practice location on file with NPPES is 677 Church St Ne, Marietta, GA 30060-1101.
- What is Tyler Bontrager's phone number?
- The practice phone number listed in the NPPES registry for Tyler Bontrager is (770) 793-6148.
- Does Tyler Bontrager accept Medicare?
- Tyler Bontrager is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Bontrager's NPI active?
- Yes — Tyler Bontrager's NPI (1790530061) is active in the NPPES registry as of the last update on 2024-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.