License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Tyson E. Bubnar	PA	Fairmont, WV	AK, WV, CA, FL, IN, MD, NC, NJ

License History

License Type	License Number	Status	License Date	Expiration Date
PPA	1894	Active	06/26/2015	3/31/2027

Education History

School	Date Completed	Nature of Training
The University Of Nebraska	08/14/2009	Physician Assistant School

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Probation of License	06/26/2015	Consent Order

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)
Practice Notification,	03/01/2024	Yes	MedBridge 51 Southland Drive, Suite 2300 Fairmont, WV 26554 Additional Work Locations , PA-C Supervising Physician:Practice Notification, Additional Work Locations: MedBridge 800 East Main Street Mannington, WV 26582 MedBridge 51 Southland Drive, Suite 1200 Fairmont, WV 26554

This data was retrieved on 4/17/2026.