Individual
DR. TYRONE GARY BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 NEW HOLLAND AVE STE 100, LANCASTER, PA 17602-2288
(717) 560-3782
(717) 560-3787
Mailing address
802 NEW HOLLAND AVE STE 100, LANCASTER, PA 17602-2288
(717) 560-3782
(717) 560-3787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
198984
NY
208000000X
Pediatrics Physician
2013-02294
NC
208000000X
Pediatrics Physician
MD053658L
PA
2084P0800X
Psychiatry Physician
11658
GA
2084P0800X
Psychiatry Physician
Primary
MD053658L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD053658L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01697965
—
NY
05
—
1437150596
—
NC
05
—
NC2031
—
SC
Enumeration date
08/10/2005
Last updated
04/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us