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Brett R Tidwell, DO

Obstetrics & Gynecology Physician in Santa Rosa Beach, FL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417210352

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Registry record

Entity type Individual (Type 1)
Name Brett R Tidwell
Credential DO
Sex Male
Practice address 27 Mack Bayou Loop, Ste 2000, Santa Rosa Beach, FL, 32459
Fax (850) 622-5634
Enumeration date Jun 15, 2012
Last updated in NPPES Mar 14, 2016

Taxonomy & licenses

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License OS13152 (FL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Brett Tidwell's NPI record?
Cross-check NPI 1417210352 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1417210352 active?
Yes, as of the latest NPPES snapshot, NPI 1417210352 is active (record last updated 2016-03-14).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-14.