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

Colin Michael Bobersky

Individual provider Physician Assistant · NPI 1790523280

Colin Michael Bobersky is a Physician Assistant in Annapolis, Maryland. Qualified in 2023, 3 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024

Practice location Address checks out

180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401-8405
Phone: (410) 263-5439
Fax: (410) 263-7482
Show map & directions

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

Additional practice locations (4)

  • 180 Admiral Cochrane Dr Ste 420, Annapolis, MD 21401-8405 — (410) 263-5439
  • 4 Caulk Ln Ste B, Easton, MD 21601-3808 — (410) 822-8223
  • 100 E Carroll St, Salisbury, MD 21801-5422 — (410) 546-6400
  • 115 Sallitt Dr Ste E, Stevensville, MD 21666-2156 — (443) 351-3376

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0009368 (MD)

Record details

NPI number1790523280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing addressPo Box 23329, New York, NY 10087-3329

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Annapolis