NPIMap

Organization Active NPI

Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
National Provider Identifier
1043640204
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BLUEWATER EMERGENCY PARTNERS OF BRUNSWICK, LLC
Practice address
14 Maine St Ste 306
Brunswick, ME 04011-2049
Phone
(207) 725-9065
Fax
(207) 560-9904
NPI assigned
Nov 25, 2013
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
James Mullen, MDNPI 1770663312
Title
President
Phone
(207) 725-9065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

14 Maine St Ste 306
Brunswick, ME 04011-2049

Mailing address

PO Box 417479
Boston, MA 02241-7479
Phone (866) 959-6774

Other practice location 1

123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 376-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VT, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140319000012 ME Part B Supplier - Clinic/Group Practice 3375774227 Receives reassigned benefits from 228 practitioners
Practice locations: Brunswick, ME; Bridgton, ME; York, ME; Rumford, ME; Lewiston, ME; Calais, ME
O20190425001402 VT Part B Supplier - Clinic/Group Practice 3375774227 Receives reassigned benefits from 70 practitioners
Practice locations: Springfield, VT; Brattleboro, VT
O20240307000308 NH Part B Supplier - Clinic/Group Practice 3375774227 Receives reassigned benefits from 42 practitioners
Practice locations: Claremont, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2190821Bluewater Emergency Partners, LLC14 Maine Street, Suite 306, Brunswick, ME 04011Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 318

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 318

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1043640204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417479",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417479",
            "telephone_number": "866-959-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 306",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112049",
            "telephone_number": "207-725-9065",
            "fax_number": "207-560-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-376-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEWATER EMERGENCY PARTNERS OF BRUNSWICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-725-9065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.