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

Alfred Henry Liddle, PA

Individual provider Physician Assistant · NPI 1205813615

Alfred Henry Liddle, PA is a Physician Assistant in Lincoln, Rhode Island. Qualified in 1979, 47 years ago. Practices with Mdri LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
47
Licensed in
RI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6 Blackstone Valley Pl Ste 201
Lincoln, RI 02865-1112
Phone: (401) 638-6374
Fax: (401) 358-9042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00023 (RI)

Record details

NPI number1205813615
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Mdri Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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