Individual provider · Type 1 NPI

Todd David Bengtson, MD

Vascular Surgery Physician · Tyler, TX

NPI number 1912970773 Active

Practice location

619 S Fleishel Ave, Ste 203
Tyler, TX 75701-2004

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

  • 115 Airport Rd, Sulphur Springs, TX 75482-2105 · (903) 885-7671
  • 619 S Fleishel Ave Ste 327, Tyler, TX 75701-2019 · (903) 606-1400

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XJ5139 (TX)
Vascular Surgery Physician Primary 2086S0129XJ5139 (TX)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

19 other providers at this address

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About NPI 1912970773

Todd David Bengtson, MD's National Provider Identifier is 1912970773, issued on Feb 10, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Tyler, TX. The record was last updated on Oct 30, 2025.