Provider Demographics
NPI:1902877517
Name:SYBERT, TROY EUGENE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:EUGENE
Last Name:SYBERT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 RANGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4530
Mailing Address - Country:US
Mailing Address - Phone:423-444-2200
Mailing Address - Fax:
Practice Address - Street 1:225 RANGEWOOD RD
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-4530
Practice Address - Country:US
Practice Address - Phone:423-218-2198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46875207R00000X, 2083P0901X
NC2021-03347207RA0401X, 208D00000X, 207R00000X
TXL72082083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN580138900Medicaid
I04976Medicare UPIN
MN580138900Medicaid