Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALICE TANNER M.D.
NPI 1184646309
Pediatrics in Glen Burnie, MD

Active since July 24, 2006
1404 CRAIN HWY S, SUITE 109, GLEN BURNIE, MD 21061(410) 768-2231(410) 760-4522 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Tanner M.d. NPPES

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

DR. ALICE TANNER M.D. (NPI 1184646309) is an individual pediatrics provider in Glen Burnie, Maryland, licensed in Maryland (D0032734) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184646309
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ALICE TANNERCredential: M.D.
Location Address1404 CRAIN HWY S, SUITE 109Glen Burnie, MD 21061-4085
Mailing Address1404 Crain Hwy S, Suite 109Glen Burnie, MD 21061-4085 · (410) 768-2231 · Fax (410) 760-4522
Fax(410) 760-4522
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 28, 2026
NPI 1184646309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0032734
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1404 CRAIN HWY S, Glen Burnie, MD 21061

Other Identifiers 2

Medicaid407731800MD
Other354440-01MD · Blue Cross &blue Shield

Other Providers at the Same Location NPPES 3

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

Home Health
1404 CRAIN HWY S, 206
GLEN BURNIE, MD 21061
Dentist (General Practice)
1404 CRAIN HWY S, SUITE 110
GLEN BURNIE, MD 21061
Colon & Rectal Surgery
1404 CRAIN HWY S, STE 111
GLEN BURNIE, MD 21061

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 Alice Tanner's NPI number?

The NPI number for Alice Tanner is 1184646309. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Alice Tanner located?

Alice Tanner practices at 1404 Crain Hwy S Suite 109, Glen Burnie, MD 21061. The listed phone number is (410) 768-2231.

What is Alice Tanner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Alice Tanner was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.