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 is a Family Medicine Physician 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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