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

Mr. Brian Roeder, PA-C

Individual provider Surgical Physician Assistant · NPI 1023034170

Mr. Brian Roeder, PA-C is a Physician Assistant in Glen Burnie, Maryland. Qualified in 1983, 43 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
43
Licensed in
MD
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

301 Hospital Dr Ste 803
Glen Burnie, MD 21061-5803
Phone: (410) 553-8160
Fax: (410) 553-8159
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C00624 (MD)

Record details

NPI number1023034170
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESNovember 9, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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