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

Trident Medical Group PA

Organization Internal Medicine Physician · NPI 1083368831

Trident Medical Group PA is an Internal Medicine Physician in Columbia, Maryland. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone: (855) 770-7771
Fax: (415) 808-6405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Public Medicine Podiatrist Taxonomy 213EP0504X

Record details

NPI number1083368831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devion Smith — Director, Payer Contracting · (424) 326-8711
NPI enumeratedFebruary 10, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address382 Ne 191st St, Miami, FL 33179-3899

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