Active NPI
Bert E Mason, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lincoln, ME
National Provider Identifier
1225051519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 155
- Practice address
- 175 W Broadway
Lincoln, ME 04457-4000 - Phone
- (207) 794-6700
- Fax
- (207) 794-6777
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 26, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 155 | KY | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD1501 | ME |
Addresses
Primary practice location
175 W Broadway
Lincoln, ME 04457-4000
Mailing address
PO Box 99
Lincoln, ME 04457-0099
Phone (207) 794-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155 | KY | MD | Counselor |
| POD1501 | ME | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Family Foot & Ankle Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Sandy River Podiatry, PA | Foot & Ankle Surgery | Past | Accepting new patients |
| Lake Region Foot and Ankle LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatry Associates of Eastern Ohio, LLC | Past | Accepting new patients | |
| Seniorwell Pod of Missouri LLC | Past | Accepting new patients |
Locations
15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Foot & Ankle Surgery Podiatrist
- Windham, ME
- NPI 1255339446
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
dba Lake Region Foot & Ankle Center
- Podiatrist
- Windham, ME
- NPI 1467745901
Foot & Ankle Surgery
-
- Podiatrist
- Martins Ferry, OH
- NPI 1659561546
-
- Podiatrist
- Saint Louis, MO
- NPI 1831689843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1225051519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044570099",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W BROADWAY",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574000",
"telephone_number": "207-794-6700",
"fax_number": "207-794-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "BERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "155",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD1501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.