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

Tyrell Lancelot Gardner, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1083105050

Tyrell Lancelot Gardner, MD is a Diagnostic Radiology in Newport News, Virginia. Graduated from Eastern Virginia Medical School in 2018, 8 years ago. Practices with Peninsula Radiological Associates Limited, a 64-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2018
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

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone: (757) 594-2000
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 0101267751 (VA)

Record details

NPI number1083105050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Peninsula Radiological Associates Limited — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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