Active NPIIndividual provider

Brian D Betthauser, PA-C

Physician Assistant in Bangor, Maine

NPI Number1679125272
Practice location
1012 Union St, Bangor, ME 04401-3060
Fax
—
Last updated
October 29, 2024

Brian D Betthauser is a Physician Assistant based in Bangor, ME. Brian D Betthauser practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Brian D Betthauser is 1679125272 and holds a License No. PA2515 (ME). The current practice location address for Brian D Betthauser is 1012 Union St, Bangor, ME 04401-3060 and can be reached out via phone at 207-404-8100.

Provider Profile Details

NPI Number
1679125272
Provider Name
Brian D Betthauser
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1012 Union St, Bangor, ME 04401-3060
Phone Number
207-404-8100
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2019
Last Update Date
October 29, 2024
Certification Date
October 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1012 Union St
Bangor, ME 04401-3060
City
Bangor
State
Maine
Zip
04401-3060
Phone Number
207-404-8100
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA2515
License State (2)
ME
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Brian D Betthauser, PA-C?

The NPI number of Brian D Betthauser, PA-C is 1679125272. It was assigned on July 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Brian D Betthauser, PA-C?

Brian D Betthauser, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2515.

Where does Brian D Betthauser, PA-C practice?

The practice location is 1012 Union St, Bangor, ME 04401-3060. The office can be reached at 207-404-8100 (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 1679125272 directly on the NPPES registry website.

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