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

Dr. Martin S. Tyson, DO

Individual provider Surgery Physician · NPI 1851468987

Dr. Martin S. Tyson, DO is a General Surgery in Bolivar, Missouri. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
32
Licensed in
MO
In the registry since
2006
Specialties on file
2
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

1155 W Parkview St Ste 1G
Bolivar, MO 65613-8279
Phone: (417) 326-8700
Fax: (417) 328-6755
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2001010358 (MO)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 2001010358 (MO)

Record details

NPI number1851468987
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 10, 2015
Mailing address1500 N Oakland Ave, Bolivar, MO 65613-3011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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