Brunswick Osteopathy LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

BRUNSWICK OSTEOPATHY LLC

Practice address

85 Baribeau Dr
Brunswick, ME 04011-3249

Phone

(207) 222-3024

Fax

(207) 222-3024

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deirdre Heersink, DONPI 1417157298

Title

Owner

Phone

(207) 222-3024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deirdre Heersink, DO

  • Family Medicine Physician
  • Topsham, ME
  • NPI 1417157298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1326541616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040110691",
            "telephone_number": "207-222-3024",
            "fax_number": "207-222-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113249",
            "telephone_number": "207-222-3024",
            "fax_number": "207-222-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "HEERSINK",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-222-3024",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brunswick Foot & Ankle Center, LLC
• Brunswick Gastroenterology Associates
• Brunswick Medical Center Pharmacy at Parkview
• Brunswick Medical Center Pharmacy at Senior Health Center
• Brunswick Medical Center Pharmacy at Senior Health Center, Inc.
• Amanda Bubar
• Jessica L Buckner, DPM
• Jamie-Eve Bullock
• Kelly Katherine Bumiller, LCPC
• Ethan C Burke, DPT

• Neuromusculoskeletal Medicine & OMM Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.