Active NPI
Midcoast Pediatrics
- Pediatrics Physician
- Brunswick, ME
National Provider Identifier
1346316791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 012530
- Legal business name
- MIDCOAST PEDIATRICS
- Practice address
- 121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653 - Phone
- (207) 721-8333
- Fax
- (207) 798-4618
- NPI assigned
- Nov 28, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L Enright, M.D.
- Title
- Ceo
- Phone
- (207) 721-8333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 012530 | ME | Primary |
Addresses
Primary practice location
121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653
Mailing address
121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653
Phone (207) 721-8333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019M | Other | ME | ANTHEM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Brunswick, ME
- NPI 1528134822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346316791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2600",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8333",
"fax_number": "207-798-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2600",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8333",
"fax_number": "207-798-4618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDCOAST PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENRIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-721-8333",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "012530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0019M",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
- Midcoast Chiropractic LLC
- Midcoast Counseling Group, PLLC
- Midcoast Dental Health LLC
- Midcoast Eye Associates (Midcoast Optical Services)
- Midcoast Integrative Healthcare (Jennifer Lakis, D.O.)
- Nancy R Miers, LCPC-C
- Miller Creek Counseling
- Scott Nelson Miller, M.S.,P.T.
- Pauline Karen Mills, MD
- Scott D Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.