Active NPIIndividual providerSole proprietor

Mr. Bradley K Lindstrom Jr., PA

Physician Assistant in Ellsworth, Maine

NPI Number1861706681
Practice location
50 Union St, Ellsworth, ME 04605-1599
Fax
207-664-5338
Last updated
December 6, 2018

Bradley Kent Lindstrom is a Physician Assistant based in Ellsworth, ME. Bradley Kent Lindstrom practices in Ellsworth, ME and has the professional credentials of PA. The NPI Number for Bradley Kent Lindstrom is 1861706681. The current practice location address for Bradley Kent Lindstrom is 50 Union St, Ellsworth, ME 04605-1599 and can be reached out via phone at 207-664-5340 and via fax at 207-664-5338.

Provider Profile Details

NPI Number
1861706681
Provider Name
Bradley Kent Lindstrom
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
50 Union St, Ellsworth, ME 04605-1599
Phone Number
207-664-5340
Fax Number
207-664-5338
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2010
Last Update Date
December 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Union St
Ellsworth, ME 04605-1599
State
Maine
Zip
04605-1599
Phone Number
207-664-5340
Fax Number
207-664-5338
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
1501 S Yale St
Ste 150
Flagstaff, AZ 86001-7337
City
Flagstaff
State
AZ
Zip
86001-7337
Phone Number
928-527-4325
Fax Number
928-527-4327

License Information

Taxonomy
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 Mr. Bradley K Lindstrom Jr., PA?

The NPI number of Mr. Bradley K Lindstrom Jr., PA is 1861706681. It was assigned on August 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Bradley K Lindstrom Jr., PA?

Mr. Bradley K Lindstrom Jr., PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Mr. Bradley K Lindstrom Jr., PA practice?

The practice location is 50 Union St, Ellsworth, ME 04605-1599. The office can be reached at 207-664-5340 (phone) or 207-664-5338 (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 1861706681 directly on the NPPES registry website.

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