South River Primary Care LLC
NPI 1154548303 · Family Medicine Physician · Edgewater, MD
South River Primary Care LLC is a Family Medicine Physician organization in Edgewater, MD (NPI 1154548303).
Provider details
- NPI number
- 1154548303
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Fry, Owner(410) 956-7830
- License
- H0056281 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2009-07-29
Frequently asked questions
- What is South River Primary Care LLC's NPI number?
- South River Primary Care LLC's National Provider Identifier (NPI) is 1154548303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South River Primary Care LLC?
- South River Primary Care LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South River Primary Care LLC located?
- South River Primary Care LLC's practice location on file with NPPES is 3168 Braverton St, Edgewater, MD 21037-2674.
- What is South River Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for South River Primary Care LLC is (410) 956-7830.
- Who is the authorized official for South River Primary Care LLC?
- The authorized official listed on South River Primary Care LLC's NPPES record is Timothy Fry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South River Primary Care LLC's NPI active?
- Yes — South River Primary Care LLC's NPI (1154548303) is active in the NPPES registry as of the last update on 2009-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.