Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidalhealth Specialty Care, LLC

Organization Diagnostic Radiology Physician · NPI 1710849872

Tidalhealth Specialty Care, LLC provides Diagnostic Radiology 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

10614 Racetrack Rd Unit 4
Berlin, MD 21811-3383
Phone: (443) 728-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1710849872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sloan Trammell — Credentialing Manager · (410) 912-6989
NPI enumeratedNovember 26, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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