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

Tyler Bold

Individual provider Infectious Disease Physician · NPI 1063850543

Tyler Bold is an Infectious Disease in Minneapolis, Minnesota. Graduated from New York University School of Medicine in 2013, 13 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Minnesota.

Years since qualifying
13
Trained at
New York University School of Medicine
Licensed in
MA, MN
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 64452 (MN)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 265066 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 255586 (MA)

Record details

NPI number1063850543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESSeptember 18, 2018
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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