- Practice location
- 735 Wilson St, Brewer, ME 04412-1000
- Phone
- 207-989-1567
- Fax
- 207-989-2287
- Last updated
- May 4, 2021
Lisa Y Bergmark is a Physician Assistant based in Brewer, ME. Lisa Y Bergmark practices in Brewer, ME and has the professional credentials of PAC. The NPI Number for Lisa Y Bergmark is 1740439611 and holds a License No. PA1434 (ME). The current practice location address for Lisa Y Bergmark is 735 Wilson St, Brewer, ME 04412-1000 and can be reached out via phone at 207-989-1567 and via fax at 207-989-2287.
Provider Profile Details
- NPI Number
- 1740439611
- Provider Name
- Lisa Y Bergmark
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 735 Wilson St, Brewer, ME 04412-1000
- Phone Number
- 207-989-1567
- Fax Number
- 207-989-2287
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 15, 2008
- Last Update Date
- May 4, 2021
- Certification Date
- May 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 735 Wilson St
Brewer, ME 04412-1000 - City
- Brewer
- State
- Maine
- Zip
- 04412-1000
- Phone Number
- 207-989-1567
- Fax Number
- 207-989-2287
Provider Business Mailing Address Details
- Address
- Po Box 1599
Bangor, ME 04402-1599 - City
- Bangor
- State
- ME
- Zip
- 04402-1599
- Phone Number
- 207-404-8200
- Fax Number
- 207-947-0435
License Information
- License Number
- PA1434
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · 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 Lisa Y Bergmark, PAC?
The NPI number of Lisa Y Bergmark, PAC is 1740439611. It was assigned on September 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Lisa Y Bergmark, PAC?
Lisa Y Bergmark, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1434.
Where does Lisa Y Bergmark, PAC practice?
The practice location is 735 Wilson St, Brewer, ME 04412-1000. The office can be reached at 207-989-1567 (phone) or 207-989-2287 (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 1740439611 directly on the NPPES registry website.