David Mason Hallbert, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD11072 Issued in ME

Practice address

302 Husson Ave
Suite 1
Bangor, ME 04401-3374

Phone

(207) 947-6141

Fax

(207) 947-6720

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• David M. Hallbert, MD LLC

  • Family Nurse Practitioner
  • Belfast, ME
  • NPI 1992908479
  NPD (past) Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1528023702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD",
            "address_2": "SUITE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121005",
            "telephone_number": "207-947-6141",
            "fax_number": "207-947-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HUSSON AVE",
            "address_2": "SUITE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013374",
            "telephone_number": "207-947-6141",
            "fax_number": "207-947-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBERT",
        "first_name": "DAVID",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD11072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338120099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirna Hajjar
• Angela L. Haley, LCPC
• Paige Haley, OT
• Diane M Hall, LCPC
• Lisa J Hall, OT
• Michael Robert Halle, PHARMD
• Thomas B Halpin, DMD
• David Christopher Haluska, DMD
• Breanna Hamby, FNP-C
• Kobe Malik Hamby, PA-C

• Internal Medicine Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.