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

Matthew Tyler Odom, MD

Individual provider Family Medicine Physician · NPI 1497458095

Matthew Tyler Odom, MD is a Family Practice in Bristol, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2023, 3 years ago. Works from 2 locations. Licensed in Tennessee.

Years since qualifying
3
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2023
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

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone: (423) 989-4050
Fax: (423) 990-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Vermont Ave, Oak Ridge, TN 37830-6471 — (865) 482-1777

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76768 (TN)

Record details

NPI number1497458095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address100 Vermont Ave, Oak Ridge, TN 37830-6471

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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