NPI age
20 years
Enumerated 2006-02-10
● Active
Type 1 · Individual
Todd David Bengtson, MD
Bengtson is 1 of 9 surgery providers in Tyler and 1 of 489 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 489 active surgery providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 49% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
619 S Fleishel Ave, Ste 203
Tyler, TX 757012004
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
Location 3
115 Airport Rd
Sulphur Springs, TX 754822105
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
-
SurgeryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 020039690 | MEDICARE RAILROAD |
| 01 (TX) | 123704 | CHIPS |
| 01 (TX) | 752616977111 | TRICARE |
| 01 (TX) | 752616977053 | TRICARE CHAMPUS |
| 01 (TX) | 75-2616977-130 | TRICARE |
| 01 (TX) | 5076044 | AETNA |
| 05 (TX) | 123916203 | |
| 01 (TX) | 752616977083 | TRICARE |
| 01 (TX) | 88860G | BCBS |
Practice context
Part of a multi-provider practice. 19 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.