LESLIE WALLACE BRAY (NPI# 1407416373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407416373 |
| Entity Type | Individual |
| Full Name | LESLIE WALLACE BRAY |
| Credential | MSN, FNP-C |
| Practice Address |
2399 Atlantic Hwy Lincolnville ME 04849-5322 |
| Mailing Address |
Po Box 452 Owls Head ME 04854-0452 |
| Practice Telephone | 2072364851 |
| Mailing Telephone | 2076912140 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | CNP191092 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913840 | Leslie Henderson Bray | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2017-06-29 |
| Street Address |
2399 ATLANTIC HWY |
| City | LINCOLNVILLE |
| State | ME |
| Zip Code | 04849-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295893022 | Catherine Wilson | Nurse Practitioner | 2399 Atlantic Hwy, Lincolnville, ME 04849 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902098999 | Brad Raymond Olsen | Physical Therapist | 67 Atlantic Hwy, Northport, ME 04849 | 2007-08-14 |
| 1932316676 | Betty Ann Burns | Counselor | 25 Slab City Road, Lincolnville, ME 04849 | 2007-05-16 |
| 1467514448 | Deborah Janet Peabody | Family Medicine | 2399 Atlantic Highway, Lincolnville, ME 04849 | 2006-12-15 |
| 1629168471 | Jill W. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-13 |
| 1528389319 | Seablue Physical Therapy LLC | Clinic/Center | 67 Atlantic Hwy, Northport, ME 04849 | 2010-06-16 |
| 1073695169 | Eric A. Betz | Chiropractor | 2195 Atlantic Hwy., Lincolnville, ME 04849 | 2006-10-19 |
| 1609807221 | Michael C. Sloan | Dentist | 2561 Atlantic Highway, Lincollnville Beach, ME 04849-0050 | 2006-07-05 |
| 1225243082 | Michael C. Sloan, D.d.s. | Dentist | 2561 Atlantic Highway, Lincolnville Beach, ME 04849-0050 | 2007-05-14 |
| 1457322810 | William M Strassberg | Orthopaedic Surgery | 36 Sailors Blf, Northport, ME 04849-3063 | 2006-02-01 |
| 1740569003 | Meredith Grace Morgan | Counselor | 1295 Atlantic Hwy, Northport, ME 04849-3600 | 2011-08-04 |
| Find all providers in zip 04849 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467514448 | Deborah Janet Peabody | Family Medicine | 2399 Atlantic Highway, Lincolnville, ME 04849 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNVILLE |
| Zip Code | 04849 |
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| 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.