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

Dr. Tyler J. Prouty, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1225247877

Dr. Tyler J. Prouty, MD is an Obstetrics/Gynecology in Bridgeport, West Virginia. Graduated from West Virginia University School of Medicine in 2003, 23 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
23
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

527 Medical Park Dr Ste 205
Bridgeport, WV 26330-9009
Phone: (304) 933-3800
Fax: (304) 933-3815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 22435 (WV)

Record details

NPI number1225247877
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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