Active NPIOrganization

Mid-Coast Spine & Sport

Chiropractor in Boothbay, Maine

NPI Number1669052601
Practice location
957 Wiscasset RD, Ste 4, Boothbay, ME 04537-4618
Fax
207-315-6359
Last updated
June 8, 2026

Mid-Coast Spine & Sport is a healthcare organization based in Boothbay, ME. Mid-Coast Spine & Sport practices in Boothbay, ME. The NPI Number for Mid-Coast Spine & Sport is 1669052601. The current practice location address for Mid-Coast Spine & Sport is 957 Wiscasset RD, Ste 4, Boothbay, ME 04537-4618 and can be reached out via phone at 207-315-6388 and via fax at 207-315-6359.

Provider Profile Details

NPI Number
1669052601
Provider Name
Mid-Coast Spine & Sport
Provider Entity Type
Organization
Address
957 Wiscasset RD, Ste 4, Boothbay, ME 04537-4618
Phone Number
207-315-6388
Fax Number
207-315-6359
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Brady Robert Fergola · Owner · 207-633-5500
Provider Enumeration Date
April 13, 2021
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
957 Wiscasset RD
Ste 4
Boothbay, ME 04537-4618
State
Maine
Zip
04537-4618
Phone Number
207-315-6388
Fax Number
207-315-6359
Boothbay, ME 04537Get directions →

Provider Business Mailing Address Details

Address
Po Box 355
Boothbay, ME 04537-0355
City
Boothbay
State
ME
Zip
04537-0355
Phone Number
207-315-6388
Fax Number
207-315-6359

License Information

Taxonomy
Chiropractor · 111N00000X · 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 Mid-Coast Spine & Sport?

The NPI number of Mid-Coast Spine & Sport is 1669052601. It was assigned on April 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Mid-Coast Spine & Sport?

Mid-Coast Spine & Sport is registered under the primary taxonomy Chiropractor (code 111N00000X).

Where does Mid-Coast Spine & Sport practice?

The practice location is 957 Wiscasset RD, Ste 4, Boothbay, ME 04537-4618. The office can be reached at 207-315-6388 (phone) or 207-315-6359 (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 1669052601 directly on the NPPES registry website.

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