Colin Michael Bobersky

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0009368 Issued in MD

Practice address

180 Admiral Cochrane Dr Ste 410
Annapolis, MD 21401-8405

Phone

(410) 263-5439

Fax

(410) 263-7482

NPI assigned

Jul 18, 2024

Last updated

Jan 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
• Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1619504735
  Medicare reassignment Care Compare group
• Anne Arundel Dermatology, LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  Medicare reassignment NPD
• Anne Arundel Dermatology, PA

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1285468231
  NPD
• Anne Arundel Dermatology, PA

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1326906025
  NPD (past)
• Tidalhealth Specialty Care, LLC

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
  • NPI 1962027094
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health System, Inc

  dba UM Shore Medical Center at Dorchester

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation
• Tidalhealth Atlantic, Inc

  dba Atlantic General Hospital Corp

  • General Acute Care Hospital
  • Berlin, MD
  • NPI 1053309120
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1790523280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "fax_number": "410-883-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ADMIRAL COCHRANE DR STE 410",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018405",
            "telephone_number": "410-263-5439",
            "fax_number": "410-263-7482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Caulk Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013808",
            "country_code": "US",
            "telephone_number": "410-822-8223",
            "fax_number": "410-822-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "410-263-5439",
            "fax_number": "410-263-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "410-546-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Sallitt Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MD",
            "postal_code": "216662156",
            "country_code": "US",
            "telephone_number": "443-351-3376",
            "fax_number": "410-643-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBERSKY",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony Boakye, MD
• Kirsten Dayle Bodnarchuk, LMT
• Kelly E Boehmler, PT
• Allison May Boettinger, RDH, BS
• Zoe Bogus, MS, CGC
• Kelley Dreher Bohlman, PT, DPT

• Physician Assistant in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.