Organization Active NPI

Physicians Specialists Surgery Center of Maine PLLC

  • Surgery Physician
  • Bangor, ME
National Provider Identifier
1174449433
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PHYSICIANS SPECIALISTS SURGERY CENTER OF MAINE PLLC
Practice address
55 Broadway
Bangor, ME 04401-5201
Phone
(207) 947-5657
Fax
(207) 947-1894
NPI assigned
Jun 29, 2026
Organization subpart
Yes
Parent organization
BANGOR PLASTIC AND HAND SURGERY, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
David Branch, MD
Title
President
Phone
(207) 947-5657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

55 Broadway
Bangor, ME 04401-5201

Mailing address

55 Broadway
Bangor, ME 04401-5201
Phone (207) 947-5657

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1174449433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015201",
            "telephone_number": "207-947-5657",
            "fax_number": "207-947-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015201",
            "telephone_number": "207-947-5657",
            "fax_number": "207-947-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SPECIALISTS SURGERY CENTER OF MAINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANGOR PLASTIC AND HAND SURGERY, P.A.",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-947-5657",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.