Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Tyler Prouty, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013610195

Alexander Tyler Prouty, DO is a Student in an Organized Health Care Education/Training Program in Englewood, Ohio. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

9000 N Main St Ste G-35
Englewood, OH 45415-1182
Phone: (937) 734-6784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4100 W 3rd St, Dayton, OH 45428-9000 — (937) 268-6511

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013610195
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1 Wyoming St, Dayton, OH 45409-2722

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