Active NPI
Nathan Bisson, PA-C
- Physician Assistant
- Bangor, ME
National Provider Identifier
1194030619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001232
- Practice address
- 915 Union St Ste 4
Bangor, ME 04401-8603 - Phone
- (207) 973-8030
- NPI assigned
- Aug 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA001232 | ME | Primary |
Addresses
Primary practice location
915 Union St Ste 4
Bangor, ME 04401-8603
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA001232 | ME | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1194030619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL RD STE 300",
"city": "BREWER",
"state": "ME",
"postal_code": "044121006",
"telephone_number": "207-973-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 UNION ST STE 4",
"city": "BANGOR",
"state": "ME",
"postal_code": "044018603",
"telephone_number": "207-973-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSON",
"first_name": "NATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001232",
"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 Apr 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.