Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1316809478

Tidalhealth Primary Care, LLC provides Family Medicine Physician services in Berlin, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10324 Old Ocean City Blvd
Berlin, MD 21811-1132
Phone: (410) 629-0041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1316809478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sloan Trammell — Credentialing Manager · (410) 912-6989
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing addressPo Box 825474, Philadelphia, PA 19182-5474

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