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Deactivated NPI 1194151621 Deactivated / Inactive NPI Male Practitioner

Dr. Tillman Moody Daniel , MD

General Practice • Bay City, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tillman Daniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2013
NPI Deactivation Date January 30, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Tillman Daniel, MD was a registered General Practice practicing in Bay City, TX. Throughout an active medical career spanning 12 years, Dr. Daniel provided care at the practice location at 2721 OAK DR. until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

2721 Oak Dr.

Bay City, TX 77414

Telephone 9792456211

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bay City, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Bay City, TX (1183 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX C-5021

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

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active September 16, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2013

Registered at 2721 OAK DR., BAY CITY, TX 77414 (Tel: 9792456211)

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Updated Business Mailing Address September 16, 2013

Registered at 2721 OAK DR., BAY CITY, TX 77414 (Tel: 9792456211)

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Provider Name / Credentials Updated September 16, 2013

Recorded as TILLMAN DANIEL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2013

General Practice (License #C-5021 in TX)

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Initial NPI Registration & Enumeration September 16, 2013

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: 1194151621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2013
Last Update: September 16, 2013
Deactivation Date: January 30, 2025

Mailing Address

2721 Oak Dr.

Bay City, TX 77414

Phone: 9792456211

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.