Brian Bisson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4079 Issued in ME

Practice address

14 Thomas Point Rd
Brunswick, ME 04011-3911

Phone

(207) 442-0325

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Orthopedics and Sports Medicine,P.a.Group PAC ID 1355393547, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.bisson.1@3608.direct.athenahealth.com

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.

• Coastal Orthopedics & Sports Medicine,P.a.

  • Physical Therapist
  • Brunswick, ME
  • NPI 1952485765

  ME, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coastal Orthopedics & Sports Medicine,P.a.

  • Orthopaedic Surgery Physician
  • Brunswick, ME
  • NPI 1912009416
  Care Compare group NPD

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1528491925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911",
            "telephone_number": "207-442-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bell Bertulli, LCSW
• Richard Beveridge, M.D.
• Beyond Words Medical Speech Pathology
• Ira A Bird, MD
• Judith Biscaia
• Carolyn W Blackburn, LCSW
• Aleksandra Maria Blackmer, PA-C
• Karmen K Blackstone, A.N.P.
• Laurie A. Blain, LCSW
• Dawn Blake, LCSW

• All providers in Brunswick, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.