Individual provider Active NPI

Nick John Furlong, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1366718579
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD29646 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-3500
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD29646 ME
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD29646 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-3500

Other practice location 1

181 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 396-7606

Other practice location 2

144 US Route 1 Ste 2
Scarborough, ME 04074-7219
Phone (207) 396-7606

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nfurlong629270@wm.providencedirect.org Direct
Direct Messaging Address nfurlong629270@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160819000548 MT Practitioner - Hospice/Palliative Care 8022245935 Reassigns benefits to 1 organization
I20250929003370 ME Practitioner - Hospice/Palliative CarePractitioner - Family Practice 8022245935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Creighton University School of Medicine, 2012
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)

144 US Route 1
Suite 2
Scarborough, ME 04074-7219
Phone (207) 396-7606

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

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29646MEMDFamily Medicine Physician
49898MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Credena Health LLC CurrentSince Apr 1, 2018 Accepting new patients
Providence St Joseph Medical Center Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Mainehealth Family Medicine CurrentSince Oct 27, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 27, 2025 Accepting new patients

Locations

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

144 US Route 1
Ste 2
Scarborough, ME 04074
Phone (207) 396-7606

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

601 W Spruce St
Ste K
Missoula, MT 59802
Phone (406) 327-1950

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Organizations & group practices 5

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1366718579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Franklin Health Cmns",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386144",
            "country_code": "US",
            "telephone_number": "207-396-7606",
            "fax_number": "207-819-6802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 US Route 1 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747219",
            "country_code": "US",
            "telephone_number": "207-396-7606",
            "fax_number": "207-819-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "NICK",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD29646",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ME",
            "license": "MD29646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfurlong629270@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N Orange St Ste 205",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598022951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfurlong629270@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 W Spruce St Ste K",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.