Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972979565 Individual Practitioner Female Practitioner

Tiffany Brooke Boardwine

Driver • Bristol, VA

Professional Overview & Biography Verified Profile Summary

Tiffany Boardwine is a registered healthcare professional specializing in Driver in Bristol, VA. Practice services are available at 13039 KING MILL PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13039 King Mill Pike

Bristol, VA 242024405

Telephone 2762024032

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Bristol, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Bristol, VA (655 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License VA T66522665

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2015

Registered at 13039 KING MILL PIKE, BRISTOL, VA 242024405 (Tel: 2762024032)

📍
Updated Business Mailing Address August 18, 2015

Registered at 13039 KING MILL PIKE, BRISTOL, VA 242024405 (Tel: 2762024032)

👤
Provider Name / Credentials Updated August 18, 2015

Recorded as TIFFANY BOARDWINE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Driver (License #T66522665 in VA)

🟢
Initial NPI Registration & Enumeration August 18, 2015

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: 1972979565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2015
Last Update: August 18, 2015
Sole Proprietor: Yes

Mailing Address

13039 King Mill Pike

Bristol, VA 242024405

Phone: 2762024032

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

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