National Provider Identifier Database

TYLER A GONZALEZ, M.D., M.B.A. – NPI #1750644290
Foot and Ankle Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.


Contact Information

TYLER A GONZALEZ, M.D., M.B.A.
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC29203-6882
Phone: 803-296-7846
Fax: 803-296-9699
Website:
Specialty Taxonomy Code
* Foot and Ankle Surgery 207XX0004X
Orthopaedic Surgery 207X00000X

* Indicates primary specialty

NPI Profile & details for TYLER A GONZALEZ

NPI Number 1750644290
Credentials M.D., M.B.A.
Entity Individual
Enumeration date 06/20/2012
Last updated 04/27/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 252622
  • SC License #: 83210
  • SC Medicaid: 832102
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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