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

Bernard Alvan Tisdale, MD

Individual provider Radiation Oncology Physician · NPI 1124009600

Bernard Alvan Tisdale, MD is a Radiation Oncology Physician in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1109 W Marshall St
Richmond, VA 23220-3835
Phone: (804) 257-7337
Fax: (804) 359-6898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 0101040236 (VA)

Record details

NPI number1124009600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESJuly 8, 2007
Mailing address1109 W Marshall St, Richmond, VA 23220-3835

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