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

Matthew Bruce McClellan, CPO

Individual provider Orthotist · NPI 1073134177

Matthew Bruce McClellan, CPO is an Orthotist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1122 E Frnt ST
Tyler, TX 75702-8414
Phone: (903) 592-6574
Fax: (903) 595-3862
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 2047 (TX)
Orthotist Taxonomy 222Z00000X · Licence 2047 (TX)

Record details

NPI number1073134177
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address1122 E Front St, Tyler, TX 75702-8414

Other providers in Tyler