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

Mr. Tyler Wilson Clemmensen

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1265852107

Mr. Tyler Wilson Clemmensen is a Pathology in Birmingham, Alabama. Graduated from University of Tennessee, Hsc, College of Medicine in 2014, 12 years ago. Practices with Pathology Associates of Alabama, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AL
In the registry since
2014
Specialties on file
3

Practice location Address checks out

625 19th St S
Birmingham, AL 35249
Phone: (205) 934-4303
Fax: (205) 934-5499
Show map & directions

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

Additional practice locations (1)

  • 619 19th St S, Birmingham, AL 35249-1900 — (205) 934-4011

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 35415 (AL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 35415 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265852107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESMay 1, 2019

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Pathology Associates Of Alabama — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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