- Practice location
- 400 Captain Thomas Road, Wells, ME 04090-7552
- Phone
- 603-740-3293
- Fax
- —
- Last updated
- July 8, 2007
Bruce Brokaw is a Physician Assistant, Medical based in Wells, ME. Bruce Brokaw practices in Wells, ME and has the professional credentials of PA-C. The NPI Number for Bruce Brokaw is 1316159072 and holds a License No. 0170 (NH). The current practice location address for Bruce Brokaw is 400 Captain Thomas Road, Wells, ME 04090-7552 and can be reached out via phone at 603-740-3293.
Provider Profile Details
- NPI Number
- 1316159072
- Provider Name
- Bruce Brokaw
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 400 Captain Thomas Road, Wells, ME 04090-7552
- Phone Number
- 603-740-3293
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Captain Thomas Road
Wells, ME 04090-7552 - City
- Wells
- State
- Maine
- Zip
- 04090-7552
- Phone Number
- 603-740-3293
Provider Business Mailing Address Details
- Address
- 400 Captain Thomas RD
Wells
Maine, ME 04090 - City
- Maine
- State
- ME
- Zip
- 04090
- Phone Number
- 603-740-3293
License Information
- License Number
- 0170
- License State
- NH
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bruce Brokaw, PA-C?
The NPI number of Bruce Brokaw, PA-C is 1316159072. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Bruce Brokaw, PA-C?
Bruce Brokaw, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NH under license number 0170.
Where does Bruce Brokaw, PA-C practice?
The practice location is 400 Captain Thomas Road, Wells, ME 04090-7552. The office can be reached at 603-740-3293 (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 1316159072 directly on the NPPES registry website.