Active NPIIndividual provider

Mrs. Shauna R Brimley-Bergstrom

Occupational Therapist, Pediatrics in Bangor, Maine

NPI Number1932539244
Practice location
37 Pond St., Bangor, ME 04401
Fax
—
Last updated
February 19, 2014

Shauna Renee Brimley-Bergstrom is an Occupational Therapist, Pediatrics based in Bangor, ME. Shauna Renee Brimley-Bergstrom practices in Bangor, ME. The NPI Number for Shauna Renee Brimley-Bergstrom is 1932539244 and holds a License No. OT2623 (ME). The current practice location address for Shauna Renee Brimley-Bergstrom is 37 Pond St., Bangor, ME 04401 and can be reached out via phone at 207-945-4334.

Provider Profile Details

NPI Number
1932539244
Provider Name
Shauna Renee Brimley-Bergstrom
Provider Entity Type
Individual
Gender
Female
Address
37 Pond St., Bangor, ME 04401
Phone Number
207-945-4334
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2013
Last Update Date
February 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Pond St.
Bangor, ME 04401
City
Bangor
State
Maine
Zip
04401
Phone Number
207-945-4334
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
37 Pond St.
Bangor, ME 04401
City
Bangor
State
ME
Zip
04401
Phone Number
207-945-4334

License Information

License Number (1)
OT2623
License State (1)
ME
Taxonomy (1)
Occupational Therapist, Pediatrics · 225XP0200X · Primary
License Number (2)
2503
License State (2)
MA
Taxonomy (2)
Occupational Therapist, Pediatrics · 225XP0200X

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 Mrs. Shauna R Brimley-Bergstrom?

The NPI number of Mrs. Shauna R Brimley-Bergstrom is 1932539244. It was assigned on November 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shauna R Brimley-Bergstrom?

Mrs. Shauna R Brimley-Bergstrom is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in ME under license number OT2623.

Where does Mrs. Shauna R Brimley-Bergstrom practice?

The practice location is 37 Pond St., Bangor, ME 04401. The office can be reached at 207-945-4334 (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 1932539244 directly on the NPPES registry website.

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