Active NPI
Matt Webster Brown
- Acupuncturist
- Gorham, ME
National Provider Identifier
1356978324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC673
- Practice address
- 88 State St.
Gorham, ME 04038-1173 - Phone
- (207) 572-9004
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC673 | ME | Primary |
Addresses
Primary practice location
88 State St.
Gorham, ME 04038-1173
Mailing address
40 Pleasant St.
Apt.2
Saco, ME 04072-2739
Phone (617) 480-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC673 | ME | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1356978324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PLEASANT ST.",
"address_2": "APT.2",
"city": "SACO",
"state": "ME",
"postal_code": "040722739",
"telephone_number": "617-480-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 STATE ST.",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381173",
"telephone_number": "207-572-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MATT",
"middle_name": "WEBSTER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2024-12-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.