Active NPIIndividual provider

David Bradeen, MD

Hospitalist in Rockport, Maine

NPI Number1417998063
Practice location
4 Glen Cove Dr, Suite 5, Rockport, ME 04856-4235
Fax
207-921-5883
Last updated
December 18, 2014

David Bradeen is a Hospitalist based in Rockport, ME. David Bradeen practices in Rockport, ME and has the professional credentials of MD. The NPI Number for David Bradeen is 1417998063 and holds a License No. 10193 (ME). The current practice location address for David Bradeen is 4 Glen Cove Dr, Suite 5, Rockport, ME 04856-4235 and can be reached out via phone at 207-921-5880 and via fax at 207-921-5883.

Provider Profile Details

NPI Number
1417998063
Provider Name
David Bradeen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4 Glen Cove Dr, Suite 5, Rockport, ME 04856-4235
Phone Number
207-921-5880
Fax Number
207-921-5883
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
June 8, 2006
Last Update Date
December 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Glen Cove Dr
Suite 5
Rockport, ME 04856-4235
State
Maine
Zip
04856-4235
Phone Number
207-921-5880
Fax Number
207-921-5883
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
231 Atlantic St Unit 61
Keyport, NJ 07735-2045
City
Keyport
State
NJ
Zip
07735-2045
Phone Number
207-236-0646

License Information

License Number (1)
10193
License State (1)
ME
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
13237
License State (2)
NH
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
MD10193
License State (3)
ME
Taxonomy (3)
Hospitalist · 208M00000X · 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 David Bradeen, MD?

The NPI number of David Bradeen, MD is 1417998063. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of David Bradeen, MD?

David Bradeen, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in ME under license number 10193.

Where does David Bradeen, MD practice?

The practice location is 4 Glen Cove Dr, Suite 5, Rockport, ME 04856-4235. The office can be reached at 207-921-5880 (phone) or 207-921-5883 (fax).

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 1417998063 directly on the NPPES registry website.

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