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

Brett R Tidwell, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1417210352

Brett R Tidwell, DO is an Obstetrics/Gynecology in Santa Rosa Beach, Florida. Qualified in 2012, 14 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

27 Mack Bayou Loop Ste 2000
Santa Rosa Beach, FL 32459-2613
Phone: (850) 267-2961
Fax: (850) 622-5634
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence OS13152 (FL)

Record details

NPI number1417210352
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2012
Last updated in NPPESMarch 14, 2016
Mailing addressPo Box 2699, Attn: Shmg/Hpe, Pensacola, FL 32513-2699

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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