NPI age
19 years
Enumerated 2006-07-06
● Active
Type 1 · Individual
DR. Adair Deberry-Carlisle, D.O.
Deberry-Carlisle is 1 of 34 surgery providers in Tyler and 1 of 3028 in Texas.
Primary specialty
Surgery
Plus 5 subspecialties
Licensed in
TX, NE, WI, OK, AZ
5 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3028 active surgery providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
5 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
630 S Fleishel Ave
Tyler, TX 757012041
Mailing address
988102 Nebraska Medical Center
Omaha, NE 681988102
Additional practice locations
6 secondary locations on file with NPPES.
Location 2
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Location 3
4007 James Casey St, Suite B-140
Austin, TX 787453369
Location 4
1200 N Beaver St
Flagstaff, AZ 860013118
Location 5
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Location 6
700 S Park St
Madison, WI 537151830
Location 7
2701 Hospital Dr
Victoria, TX 779015748
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
SurgeryTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AN626 | BCBSTX |
| 05 (TX) | 197530202 | |
| 01 (TX) | P02531927 | MEDICARE RAIL ROAD |
| 05 (OK) | 200908280A |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.