Bradley S Smith (NPI# 1245465038, PAC ID# 5294888624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245465038 |
| PAC ID by PECOS | 5294888624 |
| Professional Enrollment ID | I20090803000692 |
| Full Name | Bradley S Smith |
| Organization Legal Name | MAINEHEALTH |
| Address |
13 Industrial Park Rd Saco ME 04072-1804 |
| Phone Number | 2072838800 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200019 | SOUTHERN MAINE HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 22 Bramhall St, Portland, ME 04102-3134 | MAINEHEALTH | |
| 13 Industrial Park Rd, Saco, ME 04072-1804 | 2072838800 | MAINEHEALTH |
| Organization Legal Name | MAINEHEALTH |
| Physicians | 929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
| Kathryn E Hassett | Clinical Social Worker | Mainehealth | 48 Gilman St, Portland, ME 04102-3004 |
| Robert A Toscano | Psychiatry | Mainehealth | 165 Lancaster St, Portland, ME 04101-2406 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Deena M Ryan | Nurse Practitioner | Mainehealth | 2 Livewell Dr, Kennebunk, ME 04043-6762 |
| Christian M Basque | Sports Medicine | Mainehealth | 46 Barra Rd, Biddeford, ME 04005-9461 |
| Peter Rubin | Hematology/oncology | Mainehealth | 26 W Cole Rd, 102 Smhc Cancer Care and Blood Disorders, Biddeford, ME 04005-9407 |
| James P Lepich | Nurse Practitioner | Mainehealth | 193 Main St, Norway, ME 04268-5645 |
| Street Address |
13 INDUSTRIAL PARK RD |
| City | SACO |
| State | ME |
| Zip | 04072-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Pamela W Travis | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Rachael B Pillar | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Monique A Spina | Clinical Social Worker | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Matthew D Stevens | Family Medicine | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Mark H Rolerson | Family Practice | Southern Maine Health Care | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Edward B Yoon | Family Practice | Southern Maine Health Care | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Reiche | Chiropractic | 331 N St, Unit 102, Saco, ME 04072 | |
| Juliann Kandra | Optometry | 323 Main St, Saco, ME 04072-1514 | |
| Benjamin C Tyau | Physician Assistant | Convenientmd LLC | 506 Main St, Saco, ME 04072-1530 |
| Michaela B Whitney | Clinical Social Worker | Sweetser | 50 Moody St, Saco, ME 04072-1536 |
| Kathleen E Wilson | Clinical Social Worker | Sweetser | 50 Moody St, Saco, ME 04072-1536 |
| Elise Scala | Nurse Practitioner | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Catherine Sinclair | Nurse Practitioner | University of New England | 655 Main St, Saco, ME 04072-1543 |
| John Kazilionis | Family Medicine | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Rita Kamra Paquin | Family Medicine | University of New England | 655 Main St, Saco, ME 04072-1543 |
| Elizabeth C Berry | Physician Assistant | Mainehealth | 655 Main St, Saco, ME 04072-1543 |
| Find all physicians in zip 04072 | |||
| City | SACO |
| Zip Code | 04072 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SACO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bradley S Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.