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

Mr. Tyson E Bubnar, PA-C

Individual provider Physician Assistant · NPI 1720312861

Mr. Tyson E Bubnar, PA-C is a Physician Assistant in Fairmont, West Virginia. Qualified in 2009, 17 years ago. Practices with Sanjay Bharti MD, PLLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska and West Virginia.

Years since qualifying
17
Licensed in
AK, WV
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1325 Locust Ave
Fairmont, WV 26554-1435
Phone: (907) 947-4406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Pinnell St, Ripley, WV 25271-9101 — (304) 372-2731

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 699 (WV)
Physician Assistant Taxonomy 363A00000X · Licence 931 (AK)

Record details

NPI number1720312861
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2009
Last updated in NPPESMay 27, 2025
Certification dateDecember 15, 2021
Mailing address23434 Glenn Hill Cir, Chugiak, AK 99567-6278

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sanjay Bharti Md, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairmont