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

Tyler Goldberg

Individual provider Medical Physician Assistant · NPI 1104389345

Tyler Goldberg is a Physician Assistant in Glen Burnie, Maryland. Qualified in 2019, 7 years ago. Practices with University of Maryland Community Medical Group Inc, a 450-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone: (410) 787-4000
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1104389345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Maryland Community Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Burnie