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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639922131

Tim DO, DO is a Student in an Organized Health Care Education/Training Program in Bristol, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone: (432) 989-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639922131
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 6, 2024
Mailing address208 Medical Park Blvd, Bristol, TN 37620-7343

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