Active NPIIndividual provider

Brandon K Bourgoin, DPT

Physical Medicine & Rehabilitation in Kennebunk, Maine

NPI Number1215532668
Practice location
65 Portland RD Ste 5, Kennebunk, ME 04043-6742
Fax
—
Last updated
December 3, 2020

Brandon Kyle Bourgoin is a Physical Medicine & Rehabilitation based in Kennebunk, ME. Brandon Kyle Bourgoin practices in Kennebunk, ME and has the professional credentials of DPT. The NPI Number for Brandon Kyle Bourgoin is 1215532668 and holds a License No. PT5831 (ME). The current practice location address for Brandon Kyle Bourgoin is 65 Portland RD Ste 5, Kennebunk, ME 04043-6742 and can be reached out via phone at 207-985-6181.

Provider Profile Details

NPI Number
1215532668
Provider Name
Brandon Kyle Bourgoin
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
65 Portland RD Ste 5, Kennebunk, ME 04043-6742
Phone Number
207-985-6181
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2020
Last Update Date
December 3, 2020
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Portland RD Ste 5
Kennebunk, ME 04043-6742
State
Maine
Zip
04043-6742
Phone Number
207-985-6181
Kennebunk, ME 04043Get directions →

Provider Business Mailing Address Details

Address
17 Irving St Apt 201
Saco, ME 04072-3226
City
Saco
State
ME
Zip
04072-3226
Phone Number
207-631-1166

License Information

License Number
PT5831
License State
ME
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon K Bourgoin, DPT?

The NPI number of Brandon K Bourgoin, DPT is 1215532668. It was assigned on December 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Brandon K Bourgoin, DPT?

Brandon K Bourgoin, DPT is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in ME under license number PT5831.

Where does Brandon K Bourgoin, DPT practice?

The practice location is 65 Portland RD Ste 5, Kennebunk, ME 04043-6742. The office can be reached at 207-985-6181 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215532668 directly on the NPPES registry website.

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