NPI age
6 years
Enumerated 2020-04-01
● Active
Type 1 · Individual
Tyler D Ingersoll, DO
Ingersoll is 1 of 9 family medicine providers in Justin and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
TX, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
6 years
↓ 11 yr below median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
2
In the 26% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
1976 Texan Dr Ste 106
Justin, TX 762476774
Mailing address
2345 Southwest Blvd
Tulsa, OK 741072705
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2345 Southwest Blvd
Tulsa, OK 741072705
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Family MedicineA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No 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.
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