NPIMap

Individual provider Active NPI

Jeffrey J Bean, D.O.

  • Sports Medicine (Internal Medicine) Physician
  • Portland, ME
National Provider Identifier
1255386066
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
2037 Issued in ME
Practice address
335 Brighton Ave Ste 200
Portland, ME 04102-2362
Phone
(207) 662-8600
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 2037 ME Primary

Addresses

Primary practice location

335 Brighton Ave Ste 200
Portland, ME 04102-2362

Mailing address

114 Mackworth St
Portland, ME 04103-4534
Phone (207) 415-1910

Other practice location 1

33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2100

Other identifiers 6

IdentifierTypeStateIssuer
4991097OtherMECIGNA
432826999MedicaidME
00236042OtherOHMEDICARE RAILROAD
7209651OtherMEAETNA
AA109573OtherMEHARVARD PILGRIM
200882OtherMEANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000146 ME Practitioner - Orthopedic SurgeryPractitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 1153358007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Internal Medicine, Sports Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

265 Western Ave
1 MMP Dermatology
South Portland, ME 04106-6942
Phone (207) 661-0100

584 Roosevelt TRL
Unit 2
Windham, ME 04062-4983
Phone (207) 661-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2037MEMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Dec 15, 2020 Accepting new patients
Mainehealth CurrentSince Dec 31, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Dec 31, 2020 Accepting new patients
Maine Medical Partners CurrentSince Dec 15, 2020 Accepting new patients
Mainehealth Past Accepting new patients
Orthopaedic Associates of Portland, PA Past Accepting new patients
Mainehealth Past Accepting new patients
Orthopaedic Surgery Center Past Accepting new patients

Locations

9 Healthcare Dr
Ste 202
Biddeford, ME 04005
Phone (207) 283-1427

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

9 Healthcare Dr
Ste 101
Biddeford, ME 04005
Phone (207) 282-4270

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

582 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3233

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

584 Roosevelt Trl
#302
Windham, ME 04062

Interoperability endpoints

  • Direct secure messaging: jbean31257@direct.mmc.mainehealth.org

Organizations & group practices 9

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

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1255386066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MACKWORTH ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034534",
            "telephone_number": "207-415-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE STE 200",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022362",
            "telephone_number": "207-662-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022603",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-828-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAN",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "ME",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4991097",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432826999",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "00236042",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7209651",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA109573",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "200882",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.