Individual provider Active NPI

Gregory Douglas Dudzik, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Portland, ME
National Provider Identifier
1588058978
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
MD30603 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(866) 600-2273
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD30603 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

18 Mollison Way
Lewiston, ME 04240-5811
Phone (708) 684-8000

Other practice location 1

15 York St
Biddeford, ME 04005-5532
Phone (207) 893-0386

Other practice location 2

2300 Congress St
Portland, ME 04102-1908
Phone (207) 503-6746

Other practice location 3

86 Tandberg Trl
Windham, ME 04062-5841
Phone (207) 893-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151102001336 IL Order and Referring Only - Addiction MedicinePractitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Anesthesiology 8820308935

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1588058978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405811",
            "telephone_number": "708-684-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 York St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040055532",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021908",
            "country_code": "US",
            "telephone_number": "207-503-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Tandberg Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625841",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDZIK",
        "first_name": "GREGORY",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "MD30603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.