1. Home
  2. Directory
  3. Maryland
  4. Glen Burnie
  5. Physician Assistant
  6. NPI Profile

MR. BRIAN ROEDER P.A.-C
NPI 1023034170
Physician Assistant - Surgical in Glen Burnie, MD

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
301 HOSPITAL DR, SUITE 803, GLEN BURNIE, MD 21061(410) 553-8160(410) 553-8159 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Roeder P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN ROEDER P.A.-C (NPI 1023034170) is an individual surgical provider in Glen Burnie, Maryland, licensed in Maryland (C00624) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1023034170
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRIAN ROEDERCredential: P.A.-C
Location Address301 HOSPITAL DR, SUITE 803Glen Burnie, MD 21061-5803
Mailing Address301 Hospital Dr, Suite 803Glen Burnie, MD 21061-5803 · (410) 553-8160 · Fax (410) 553-8159
Phone(410) 553-8160
Fax(410) 553-8159
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 9, 2015
✔ NPI 1023034170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MD · C00624
301 HOSPITAL DR, Glen Burnie, MD 21061
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN703LN274MD
Other236285MD · Kaiser Perm
Medicare UPINS62039
Other75551MD · Amerigroup

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brian Roeder P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638183452
PECOS Enrollment IDI20060201000326
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARI MAJETHIA
Pharmacist (Ambulatory Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4786
MORGAN MERRYMAN CRNA
Nurse Anesthetist, Certified Registered
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
MRS. THERESA EILEEN DEVEAUX CRNP
Nurse Practitioner (Acute Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-8300
DR. STEPHEN JOSEPH HITTMAN D.O.
Pediatrics
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
KARIM KHATIBI MD
Obstetrics & Gynecology
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000
DR. MARSHALL E. BENJAMIN M.D.
Surgery
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-8300
DR. DOROTHY P FEDIS M.D.
Emergency Medicine
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4565
BHAVANA SHARMA M.D.
Psychiatry & Neurology (Neurology)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 787-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Roeder's NPI number?

The NPI number for Brian Roeder is 1023034170. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Brian Roeder located?

Brian Roeder practices at 301 Hospital Dr Suite 803, Glen Burnie, MD 21061. The listed phone number is (410) 553-8160.

What is Brian Roeder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brian Roeder enrolled in Medicare?

Yes. Brian Roeder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Roeder accept?

Health plans from AmeriHealth Caritas Next list Brian Roeder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Roeder affiliated with any hospitals?

According to CMS data, Brian Roeder is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Brian Roeder was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.