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

Tyler Bartolazzi, PAC

Individual provider Physician Assistant · NPI 1689443434

Tyler Bartolazzi, PAC is a Physician Assistant in Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5223 (SC)

Record details

NPI number1689443434
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedDecember 21, 2023
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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