Bryce Edward Blanton, MD
Individual provider Active NPI Psychiatry Physician · Berlin, MD
NPI 1356735880 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1356735880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D0087168 (MD)
- Practice address
- 11101 Cathage Rd
Berlin, MD 21811-2115 - Phone
- (410) 543-7119
- Fax
- (410) 677-6675
- NPI assigned
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tidalhealth Specialty Care LLC
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
11101 Cathage Rd
Berlin, MD 21811-2115
Phone (410) 912-6324
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190806001869 | MD | Practitioner - Psychiatry | 2466789029 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0087168 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Atlantic, Inc. | Current |
Accepting new patients | |
| Atlantic General Hospital Corporation | Current |
Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current |
Accepting new patients |
Locations
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
11101 Cathage Rd
Ocean Pnes, MD 21811
Phone (410) 543-4769
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0087168 | MD | Yes |
Addresses
Primary practice location
11101 Cathage Rd
Berlin, MD 21811-2115
Mailing address
11101 Cathage Rd
Berlin, MD 21811-2115
Phone (410) 543-7119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
Other providers in Berlin, MD
- Todd M Bescak
- Gina Marie Betz
- Tyler Betz
- Laura Bishop
- Darcie Elizabeth Bissinger
- Kimberly Jean Bloodsworth
- Bloom Physical Therapy and Wellness LLC
- Kendal Renee Blosser
- Sandra Blount
- Brooke Bochinski
All providers in Berlin, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.