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

Tyra Denee Gaylord, MD

Individual provider Specialist · NPI 1093925307

Tyra Denee Gaylord, MD is a Specialist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01042658A (IN)

Record details

NPI number1093925307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007

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