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

Tyler Bradshaw Thompson, IDC

Individual provider Military Health Care Provider · NPI 1083275762

Tyler Bradshaw Thompson, IDC is a Military Health Care Provider in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

34 Farenholt Ave
San Diego, CA 92134-0001
Phone: (619) 532-7962
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1083275762
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJune 24, 2019

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