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

Dr. Zachary Tyler Baumgardner, MD

Individual provider Family Medicine Physician · NPI 1003016809

Dr. Zachary Tyler Baumgardner, MD is a Family Practice in Reno, Nevada. Qualified in 2007, 19 years ago. Practices with Custom Physical Therapy Limited Partnership, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
19
Licensed in
NV
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

601 Ralston St Ste 100
Reno, NV 89503-4456
Phone: (775) 786-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13559 (NV)

Record details

NPI number1003016809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESJuly 7, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Custom Physical Therapy Limited Partnership — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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