Stephan O. Bamberger, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.150092 Issued in OH

Practice address

15 Gracelawn Rd
Auburn, ME 04210-6334

Phone

(207) 333-4799

Fax

(207) 333-4767

NPI assigned

Feb 21, 2006

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, TX, VT, OH, MN6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Emergency Medicine

Education

Columbia University College of Physicians and Surgeons, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houlton Regional HospitalGroup PAC ID 0042127946, 59 clinicians

St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
• St Mary's Regional Medical Center Hospital, Lewiston, ME, CCN 200034
• Perham Health Hospital, Perham, MN, CCN 241373

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbamberger@direct.pma.md
• Direct secure messaging: sbamberger1411850@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment Care Compare group NPD
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Medicare reassignment Care Compare group
• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204

  VT

  Medicare reassignment NPD
• Careall P.C.

  dba American Family Care

  • Urgent Care Clinic/Center
  • South Portland, ME
  • NPI 1700355567
  Medicare reassignment NPD
• Emergency Medicine Services of Maine, LLC

  • Emergency Medicine Physician
  • Ellsworth, ME
  • NPI 1578032058
  Medicare reassignment NPD
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Medicare reassignment NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• Osup Community Outreach LLC

  • Neurology Physician
  • Dublin, OH
  • NPI 1699179929
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Chiropractor
  • Perham, MN
  • NPI 1932113768

  Emergency Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation
• St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ME
  • NPI 1447226584
  Care Compare affiliation
• Perham Hospital District

  dba Perham Health

  • Family Medicine Physician
  • Perham, MN
  • NPI 1457631814

  Hospital

  Care Compare affiliation
• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1003881319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE ST",
            "address_2": "SUITE 5",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113358",
            "telephone_number": "207-798-6974",
            "fax_number": "207-798-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRACELAWN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106334",
            "telephone_number": "207-333-4799",
            "fax_number": "207-333-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Maine St",
            "address_2": "suite 5",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113358",
            "country_code": "US",
            "telephone_number": "207-798-6974",
            "fax_number": "207-798-6981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMBERGER",
        "first_name": "STEPHAN",
        "middle_name": "O.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.150092",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "ME",
            "license": "MD14080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Averill, ATC, LAT, CSCS
• Rachel Averill
• Milton Ayer, LCPC
• Megan Bailey
• Paul James Balzer Jr., MD
• Evan Thomas Barden, LADC
• Susan Barnes
• Bernadette M Barr, MOTR/L
• Zahra Barreh
• Robert B Baskett, PH.D.

• Emergency Medicine Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Emergency Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.