NPIMap

Individual provider Active NPI

Brandon Elliot Giberson, D.O.

  • Emergency Medicine Physician
  • Biddeford, ME
National Provider Identifier
1265886956
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2894 Issued in ME
Practice address
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone
(207) 294-5000
Fax
(207) 294-5227
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2894 ME Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Medical Center Dr
Biddeford, ME 04005-9422

Mailing address

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 294-5000

Other practice location 1

14 Maine St # 44
Brunswick, ME 04011-2049
Phone (207) 725-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190611002868 ME Practitioner - Emergency Medicine 6800129545 Reassigns benefits to 4 organizations
I20200514001545 MA Practitioner - Emergency Medicine 6800129545 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince May 19, 2023 Accepting new patients
Houlton Regional Hospital CurrentSince Jul 1, 2019 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Mar 1, 2020 Accepting new patients
Mainehealth CurrentSince Apr 24, 2024 Accepting new patients
Nantucket Physicians Organization CurrentSince May 19, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Houlton Regional Hospital CurrentSince Jul 1, 2019 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Mainehealth CurrentSince Apr 24, 2024 Accepting new patients
Nantucket Cottage Hospital CurrentSince May 19, 2023 Accepting new patients
Neighborhealth Corporation CurrentSince Mar 1, 2020 Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Emergency Medicine Past Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

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

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

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

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: bgiberson353506@direct.mmc.mainehealth.org

Organizations & group practices 14

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.

View all 14

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1265886956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-294-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-294-5000",
            "fax_number": "207-294-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Maine St # 44",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112049",
            "country_code": "US",
            "telephone_number": "207-725-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBERSON",
        "first_name": "BRANDON",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO2894",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.