NPIMap

Organization Active NPI

Bishop Medical Group LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Portland, ME
National Provider Identifier
1487256186
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
BISHOP MEDICAL GROUP LLC
Practice address
1250 Forest Ave Ste 201
Portland, ME 04103-6403
Phone
(207) 671-3047
NPI assigned
Nov 9, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Morgan Emerson
Title
Director of Operations
Phone
(207) 910-6580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

1250 Forest Ave Ste 201
Portland, ME 04103-6403

Mailing address

1250 Forest Ave Ste 201
Portland, ME 04103-6403

Other practice location 1

100 Gannett Dr
South Portland, ME 04106-5900
Phone (207) 910-6580

Other practice location 2

1250 Forest Ave Ste 14
Portland, ME 04103-1889
Phone (207) 910-6580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210715002780 ME Part B Supplier - Clinic/Group Practice 6800298654 Receives reassigned benefits from 15 practitioners
Practice locations: Portland, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2218968Bishop Medical Group LLC100 Gannett Drive, Portland, ME 04106Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

1250 Forest Ave
Ste 201
Portland, ME 04103
Phone (207) 910-6580

100 Gannett Dr
Ste B
South Portland, ME 04106
Phone (207) 742-8558

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1487256186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE STE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE STE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036403",
            "telephone_number": "207-671-3047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Gannett Dr",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041065900",
            "country_code": "US",
            "telephone_number": "207-910-6580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Forest Ave Ste 14",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041031889",
            "country_code": "US",
            "telephone_number": "207-910-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BISHOP MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "207-910-6580"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.