Individual provider Active NPI

Edward Isaac Bender, DO

  • Child & Adolescent Psychiatry Physician
  • Portland, ME
National Provider Identifier
1477876670
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DO3110 Issued in ME
Practice address
1577 Congress St Ste 1
Portland, ME 04102-2169
Phone
(207) 662-1442
Fax
(207) 775-2467
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X DO3110 ME Primary
Psychiatry Physician 2084P0800X DO3110 ME

Addresses

Primary practice location

1577 Congress St Ste 1
Portland, ME 04102-2169

Mailing address

1577 Congress St Ste 1
Portland, ME 04102-2169
Phone (207) 662-1442

Other practice location 1

66 Bramhall St
Portland, ME 04102-3344
Phone (207) 662-2221

Other practice location 2

5 Bucknam Rd Ste 2A
Falmouth, ME 04105-1209
Phone (207) 781-1775

Other practice location 3

1 Harnois Ave Ste 1A
Westbrook, ME 04092-4395
Phone (207) 662-1360

Other practice location 4

75 John Roberts Rd Ste B8
South Portland, ME 04106-6964
Phone (207) 775-4151

Other practice location 5

123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 761-2200

Other practice location 6

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other practice location 7

4 Scammon St Ste 51
Saco, ME 04072-5122
Phone (207) 282-3327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002322 ME Practitioner - Psychiatry 3274838255 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3110MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Aug 15, 2020 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2020 Accepting new patients
Mainehealth CurrentSince Aug 15, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Aug 15, 2020 Accepting new patients

Locations

5 Bucknam Rd
Ste 2A
Falmouth, ME 04105
Phone (207) 781-1775

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

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

1577 Congress St
Ste 1
Portland, ME 04102
Phone (207) 662-1442

4 Scammon St
Ste 51
Saco, ME 04072
Phone (207) 282-3327

75 John Roberts Rd
Ste B8
South Portland, ME 04106
Phone (207) 775-4151

123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

Interoperability endpoints

  • Direct secure messaging: ebender113797@direct.mmc.mainehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1477876670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-1442",
            "fax_number": "207-775-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-1442",
            "fax_number": "207-775-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023344",
            "country_code": "US",
            "telephone_number": "207-662-2221",
            "fax_number": "207-618-5684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Bucknam Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051209",
            "country_code": "US",
            "telephone_number": "207-781-1775",
            "fax_number": "207-781-1780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Harnois Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924395",
            "country_code": "US",
            "telephone_number": "207-662-1360",
            "fax_number": "207-662-1361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 John Roberts Rd Ste B8",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041066964",
            "country_code": "US",
            "telephone_number": "207-775-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Andover Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923848",
            "country_code": "US",
            "telephone_number": "207-761-2200",
            "fax_number": "207-761-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "fax_number": "207-662-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Scammon St Ste 51",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040725122",
            "country_code": "US",
            "telephone_number": "207-282-3327",
            "fax_number": "207-286-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "EDWARD",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "DO3110",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO3110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.