Individual provider Active NPI

James Blake Trumble, MD

  • Emergency Medicine Physician
  • Salisbury, MD
National Provider Identifier
1720042831
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0058210 Issued in MD
Practice address
145 E Carroll St # 101102
Salisbury, MD 21801-5454
Phone
(410) 912-5785
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0058210 MD Primary

Addresses

Primary practice location

145 E Carroll St # 101102
Salisbury, MD 21801-5454

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

850 Oak St
Frederick, MD 21703-8442
Phone (301) 698-8374

Other practice location 2

400 W 7th St
Frederick, MD 21701-4506
Phone (240) 566-3840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000346 MD Practitioner - Emergency Medicine 4082626577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

201 Hall Hwy
Crisfield, MD 21817-1237
Phone (410) 968-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058210MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. Emergency Medicine CurrentSince Dec 29, 2018 Accepting new patients
Ydiprmc LLC Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Emergency Physician Associates, PA Past Accepting new patients

Locations

201 Hall Hwy
Crisfield, MD 21817
Phone (410) 968-1200

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

327 Tilghman Rd
Ste 200
Salisbury, MD 21804
Phone (410) 334-6351

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Ste 102
Salisbury, MD 21801

145 E Carroll St
Ste 101
Salisbury, MD 21801

145 E Carroll St
#101102
Salisbury, MD 21801
Phone (410) 912-5785

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alice Byrd Tawes Nursing HomeCrisfield, MD, CCN 215058 Skilled nursing facility Corporate Director (100%) Mar 1, 2020
Peninsula Home Care at Nanticoke, LLCSeaford, DE, CCN 087036 Home health agency Corporate Director (17%) Aug 26, 2021
Tidalhealth Home CareSalisbury, MD, CCN 217079 Home health agency Corporate Director (16.67%) Apr 23, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1720042831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E CARROLL ST # 101102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015454",
            "telephone_number": "410-912-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Oak St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038442",
            "country_code": "US",
            "telephone_number": "301-698-8374",
            "fax_number": "301-698-0182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014506",
            "country_code": "US",
            "telephone_number": "240-566-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUMBLE",
        "first_name": "JAMES",
        "middle_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0058210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.