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

Dr. Adair Deberry-Carlisle, DO

Individual provider Surgery Physician · NPI 1730110651

Dr. Adair Deberry-Carlisle, DO is a General Surgery in Tyler, Texas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2003, 23 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Arizona, Nebraska, Oklahoma and Texas and 1 more.

Years since qualifying
23
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
AZ, NE, OK, TX, WI
In the registry since
2006
Specialties on file
6
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.

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Practice location Address checks out

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone: (903) 606-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 779-3366
  • 2500 Bellevue Medical Center Dr, Bellevue, NE 68123 — (402) 763-3410
  • 2500 Bellevue Medical Center Dr, Bellevue, NE 68123 — (402) 763-3410
  • 4007 James Casey St, Austin, TX 78745-3369 — (737) 202-3871
  • 2701 Hospital Dr, Victoria, TX 77901-5748 — (361) 582-5771
  • 700 S Park St, Madison, WI 53715-1830 — (608) 251-6100

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M0050 (TX)
Surgery Physician Taxonomy 208600000X · Licence 1974 (NE)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 71035-21 (WI)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 1974 (NE)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 6836 (OK)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 007921 (AZ)

Record details

NPI number1730110651
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2003 (23 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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