Doctor profile · Federal record
Dr. Chad Tidwell, DO
Student in an Organized Health Care Education/Training Program · Detroit, MI
- NPI 1396366720
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4201 Saint Antoine St # 9C
Detroit, MI 482012153
(313) 993-7385
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396366720. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$133
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 2 | $132.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
0
Total drug cost
$8,563
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 13 | 0 | $8,397 |
| Atorvastatin Calcium | Generic | 11 | 0 | $166 |
Frequently asked questions
What is Dr. Chad Tidwell's medical specialty?
Dr. Chad Tidwell practices Student in an Organized Health Care Education/Training Program in Detroit, MI.
Where does Dr. Chad Tidwell practice?
Dr. Chad Tidwell practices at 4201 Saint Antoine St # 9C, Detroit, MI 482012153. Office phone: 3139937385.
What is Dr. Chad Tidwell's NPI?
Dr. Chad Tidwell's National Provider Identifier (NPI) is 1396366720, issued by NPPES.