IAN J BRISTOL


Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: 2076622276

IAN J BRISTOL (NPI# 1235357294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235357294
Entity Type Individual
Full Name IAN J BRISTOL
Credential M.D.
Practice Address 22 Bramhall St
Portland
ME 04102-3134
Mailing Address 324 Gannett Dr Ste 200
South Portland
ME 04106-3266
Practice Telephone 2076622276
Mailing Telephone 2074827800
Enumeration Date 2007-04-23
Last Update Date 2015-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD17399 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 22 BRAMHALL ST
City PORTLAND
State ME
Zip Code 04102-3134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641355 Suzanne Maynard Specialist 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 2005-07-05
1902406135 Barbara Lewis-armstrong Social Worker 22 Bramhall St, Portland, ME 04102-3175 2020-10-27
1285231217 Malia Haddock Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-10-02
1972118222 Morgan O'brien Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-09-14
1295349900 Natalie Margaret Petrone Occupational Therapist 22 Bramhall St, Portland, ME 04102-3175 2020-09-01
1467065565 Mandi Ann Horwath Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-08-28
1922610492 Diana Christine Hubbell Registered Nurse 22 Bramhall St, Portland, ME 04102-3134 2020-08-17
1790393023 Rami Waked Student in an Organized Health Care Education/Training Program 22 Bramhall St, Portland, ME 04102-3134 2020-07-22
1871117143 Lesley Raley Pharmacist 22 Bramhall St, Portland, ME 04102-3134 2020-06-03
1023638707 Rebecca Naomi Glass Physical Therapist 22 Bramhall St, Portland, ME 04102-3134 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235549031 Amar Srivastava Radiology 4805 Ne Glisan St, Garden Level, Portland, OR 97213 2014-05-01
1962848655 Joshua M Walker Radiology 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 2013-05-21
1578610382 Jerry Jeff Jaboin Radiology 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 2007-01-04
1770520892 Katie Anne Deming Radiology 1400 Nw Irving St, 527, Portland, OR 97209-2210 2006-05-31
1043299217 Andrew Yoo Jong Kee Radiology 1130 Nw 22nd Ave Ste Ll50, Portland, OR 97210-2900 2006-01-16
1083601835 Thomas Harry Johnson Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2005-10-05
1356338149 Misa Melissa Lee Radiology 1130 Nw 22nd Avenue, Ll50, Portland, OR 97210-2900 2005-10-05
1952780512 Blair M Murphy Radiology 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239-3011 2015-05-28
1114304870 Eric Michael Chang Radiology 3181 Sw Sam Jackson Park Rd # L337, Portland, OR 97239-3011 2015-05-01
1073908505 Whitney Beeler Radiology 22 Bramhall St, Portland, ME 04102-3134 2015-04-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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