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

Lidianny Polanco, DO

Individual provider Family Medicine Physician · NPI 1548624539

Lidianny Polanco, DO is a Family Practice in Tuscaloosa, Alabama. Qualified in 2016, 10 years ago. Practices with Oak Mountain Group Services, LLC, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2016
Specialties on file
2
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.

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Practice location Address checks out

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone: (205) 348-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Riverside Dr, Binghamton, NY 13905-4246 — (607) 798-5897

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO1984 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548624539
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2016
Last updated in NPPESAugust 30, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Oak Mountain Group Services, Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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