Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962255794 Individual Practitioner Female Practitioner

Dr. Dorothy Tisdel , MD

General Practice • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dorothy Tisdel, MD is a registered healthcare professional specializing in General Practice in Eglin Afb, FL. Practice services are available at 307 BOATNER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd

Eglin Afb, FL 325421302

Telephone 8508838288
Associated Practice Facility / Clinic
🏢 96th Medgrp-Eglin Facility NPI 1588647770

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Eglin Afb, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 8649420

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Camron Bowman , DO

Military Health Care Provider

NPI 1023805942

Doctor of Osteopathic Medicine (D.O.)

Dr. Sarah Balloga , MD

Family Medicine

NPI 1104111434

Doctor of Medicine (M.D.)

Emilee Leslie

Military Health Care Provider

NPI 1427844679
NPI 1699872390

Doctor of Medicine (M.D.), Master of Public Health

Dr. Alexis Dettrich Felgentrager , DO

Military Health Care Provider

NPI 1700724127

Doctor of Osteopathic Medicine (D.O.)

Dr. Casey Thompson , MD

General Practice

NPI 1720831548

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

General Practice (License #8649420 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Military Health Care Provider

NPI Profile Active April 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2024

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508838288)

📍
Updated Business Mailing Address April 10, 2024

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302

👤
Provider Name / Credentials Updated April 10, 2024

Recorded as DOROTHY TISDEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962255794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2024
Last Update: December 18, 2025
Sole Proprietor: No

Mailing Address

307 Boatner Rd

Eglin Afb, FL 325421302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.