DR. BRUCE R BROWN (NPI# 1568402691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568402691 |
Entity Type | Individual |
Full Name | DR. BRUCE R BROWN |
Credential | M.D. |
Practice Address |
895 Union St Suite 12 Bangor ME 04401-3053 |
Mailing Address |
43 Whiting Hill Rd Suite 300 Brewer ME 04412-1005 |
Practice Telephone | 2079737979 |
Practice Fax Number | 2079479579 |
Mailing Telephone | 2079735035 |
Mailing Fax Number | 2079735042 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2010-01-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
011063 | ME | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336443910 | Bruce Kirkwood Brown Jr. | Counselor | 605 Nw 40th St, Oklahoma City, OK 73118-7043 | 2010-12-22 |
1760514863 | Bruce R Brown | Dentist | 14 Roosevelt Ave, Port Jefferson Station, NY 11776-3337 | 2007-03-12 |
1699788869 | Bruce A Brown | Chiropractor | 4299 Sugarcreek Dr, Bellbrook, OH 45305-1330 | 2006-08-15 |
1205896362 | Bruce M Brown | Internal Medicine | 47 Sandwich Rd, Wareham, MA 02571-1627 | 2006-03-24 |
1841259413 | Bruce Wallace Brown | Internal Medicine | 2660 10th Ave S, #400, Birmingham, AL 35205-1624 | 2006-03-21 |
1558360768 | Bruce H Brown Jr. | Anesthesiology | 19636 N 27th Avenue, Suite 106, Phoenix, AZ 85022 | 2005-07-19 |
1760816649 | Bruce Wendell Brown | Pharmacist | 1806 S Minnesota Ave, Sioux Falls, SD 57105-2811 | 2013-08-27 |
1578751673 | Bruce Gerald Brown | Registered Nurse | 525 S Lake Ave, Suite 222, Duluth, MN 55802-2362 | 2007-10-15 |
1336344761 | Bruce Atkinson Brown | Social Worker | 3520 General Degaulle Dr, Suite 4030, New Orleans, LA 70114-6757 | 2007-06-16 |
1245448356 | Bruce A Brown | Counselor | 34 Patchen Rd, S Burlington, VT 05403-5704 | 2007-05-21 |
Street Address |
895 UNION ST SUITE 12 |
City | BANGOR |
State | ME |
Zip Code | 04401-3053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396734182 | Jessica Bloom-foster | Family Medicine | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2005-10-14 |
1497240139 | Jenny D Hill | Student in an Organized Health Care Education/Training Program | 895 Union St, Bangor, ME 04401-3053 | 2018-06-26 |
1538518170 | Lori Isenhower | Student in an Organized Health Care Education/Training Program | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2016-06-05 |
1528417169 | Ellen Mooney | Student in an Organized Health Care Education/Training Program | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2016-06-05 |
1922456755 | Stephanie Corriveau | Student in an Organized Health Care Education/Training Program | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2016-06-02 |
1831569219 | Heather Larae Reid | Social Worker | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2015-09-29 |
1851771364 | Benjamin Heath O'brien | Family Medicine | 895 Union St, Suite, Bangor, ME 04401 | 2015-06-01 |
1174903694 | Jennifer Lynn Horne | Family Medicine | 895 Union St, Suite 12, Bangor, ME 04401 | 2015-06-01 |
1396157376 | Anthony Lee Fusco | Hospitalist | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2014-05-27 |
1427491240 | Raymond Joseph Baxter | Family Medicine | 895 Union St, Suite 12, Bangor, ME 04401-3053 | 2013-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124058151 | Paulette Y. Coty | Pediatrics | 1068 Union St, Bangor, ME 04401-3016 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
1013002534 | Jennifer Power | Pediatrics | 45 Forest Falls Drive, Yarmouth, ME 04096 | 2006-10-03 |
1336101104 | Donald R Burgess | Pediatrics | 3 Shape Dr, Kennebunk, ME 04043-6601 | 2006-04-05 |
1902992233 | Julia D. Lockwood | Pediatrics | 45 Forest Falls Drive, Yarmouth, ME 04096 | 2006-10-05 |
1649365016 | Stephen S. Digiovanni | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-03 |
1275574311 | Jonathan T Fanburg | Pediatrics | 5 Bucknam Road, Suite 1d, Falmouth, ME 04105-1208 | 2006-06-09 |
1295799500 | Barry Hugo | Pediatrics | 4 Shape Dr, Kennebunk, ME 04043-6601 | 2006-04-13 |
1568424430 | Gary J Allegretta | Pediatrics | 329 Maine St, Brunswick, ME 04011-3310 | 2006-04-05 |
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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.