Individual provider · Type 1 NPI

Taran Brooks Valdivia Carlisle, DO

Diagnostic Radiology Physician · Fort Bliss, TX

NPI number 1750917258 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X0102207067 (VA)
Diagnostic Radiology Physician 2085R0202X2025-03182 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1750917258

Taran Brooks Valdivia Carlisle, DO's National Provider Identifier is 1750917258, issued on Mar 16, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Bliss, TX. The record was last updated on Sep 23, 2025.