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

Tyler Bruce Wilcox

Individual provider Physician Assistant · NPI 1063130144

Tyler Bruce Wilcox is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Tulsa Bone and Joint Associates PC, a 91-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2022
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Practice location Address checks out

4802 S 109th East Ave
Tulsa, OK 74146-5822
Phone: (918) 392-1400
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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 5441 (OK)

Record details

NPI number1063130144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2022
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 10, 2025
Mailing address808 W Atlanta Ct, Broken Arrow, OK 74012-6907

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tulsa Bone And Joint Associates Pc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa