Bruce D. Alexander, MD
Individual provider Active NPI Family Medicine Physician · Presque Isle, ME
NPI 1477584795 · NPPES record last updated Nov 13, 2012
Key facts
- NPI
- 1477584795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD9643 (ME)
- Practice address
- 140 Academy St
Presque Isle, ME 04769-3102 - Phone
- (207) 764-3142
- Fax
- (207) 764-6459
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD9643 | ME | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD9643 | ME | Yes |
Addresses
Primary practice location
140 Academy St
Presque Isle, ME 04769-3102
Mailing address
140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 764-3142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477584795 | Medicaid | ME |
Other providers in Presque Isle, ME
- Acadia Home Care
- Philip Advocate
- Danielle Elizabeth Agrella
- Georgina Aguirre
- Bradley Ala
- Elizabeth Anne Allen
- Mary M Allen
- Shannon I Ambrutis
- Judy Ann Anderson
- Crystal Annis
All providers in Presque Isle, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.