BRAD FORREST LONG (NPI# 1861655086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861655086 |
Entity Type | Individual |
Full Name | BRAD FORREST LONG |
Credential | MD |
Practice Address |
76 High St Lewiston ME 04240-7649 |
Practice Telephone | 2077952800 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | EC081104 | ME | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750660023 | Brad Long | Social Worker | 215 E Main St, Providence, KY 42450-1261 | 2011-08-04 |
1043500424 | Brad Long | Pharmacist | 1211 Claremont Ave, Ashland, OH 44805-3528 | 2011-04-19 |
Street Address |
76 HIGH ST |
City | LEWISTON |
State | ME |
Zip Code | 04240-7649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386637627 | Dale Leroy Sotherland | Internal Medicine | 76 High St, Suite 300, Lewiston, ME 04240-7649 | 2005-08-23 |
1528677838 | Benjamin Landry | Pharmacist | 76 High St, Lewiston, ME 04240-7649 | 2020-07-23 |
1497372940 | Colin Bonnar | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-07-01 |
1982220224 | Emily Nguyen | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-06-23 |
1114543725 | Anna Korkhin | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-06-19 |
1184249906 | James Poulin | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-06-09 |
1013539022 | Eliza Foster | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-05-13 |
1386266393 | Matthew Rausch | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-05-13 |
1831711845 | Catherine Lok | Family Medicine | 76 High St, Lewiston, ME 04240-7649 | 2020-05-13 |
1316593171 | Sarah Sue Gurney | Nurse Practitioner | 76 High St, Lewiston, ME 04240-7649 | 2019-08-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
Find all providers in zip 04240 |
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 |
---|---|---|---|---|
1336433085 | Jacob Emerson Crothers | Family Medicine | Bates Mill No. 6, 70 Lincoln Street, 3rd Floor, Lewiston, ME 04240 | 2011-05-30 |
1922334523 | Michael Joseph Ragusa | Family Medicine | 941 Escarpment Dr, Lewiston, NY 14092-2021 | 2009-11-02 |
1992843015 | Manuel Gonzales Sangalang | Family Medicine | 111 Webster St, Suite #4, Lewiston, ME 04240-6464 | 2007-02-01 |
1558452268 | Clearwater Medical Center Pllc | Family Medicine | 1522 17th St, Lewiston, ID 83501-3652 | 2006-09-27 |
1649295866 | Christopher J Iacobelli | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2006-07-12 |
1346273885 | Debra M Omiatek | Family Medicine | 265 Portage Rd, Lewiston, NY 14092-1710 | 2006-07-08 |
1407885213 | Jeffrey S. Michaud | Family Medicine | 15 Mollison Way, Suite 301, Lewiston, ME 04240-5805 | 2006-07-02 |
1851337554 | Robert J Lotstein | Family Medicine | 332 5th St, Lewiston, ID 83501-2419 | 2006-06-21 |
1164477568 | Community Clinical Services, Inc. | Family Medicine | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2006-05-23 |
1619967361 | Alice C. Haines | Family Medicine | 60 Pine St, Suite One, Lewiston, ME 04240-7214 | 2005-10-25 |
Find all providers in LEWISTON |
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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.