Active NPI
Brian E Kaufman, DO
- Interventional Pain Medicine Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 1984
- Practice address
- 1365 Broadway
Bangor, ME 04401-2401 - Phone
- (207) 942-6226
- Fax
- (207) 992-2756
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 18970 | NH | |
| Interventional Pain Medicine Physician | 208VP0014X | 1984 | ME | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 18970 | NH | |
| Internal Medicine Physician | 207R00000X | 1984 | ME | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 18970 | NH |
Addresses
Primary practice location
1365 Broadway
Bangor, ME 04401-2401
Mailing address
1365 Broadway
Bangor, ME 04401-2401
Phone (207) 942-6226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3107372 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New England, College of Osteo Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Broadway
Bangor, ME 04401-2401
Phone (207) 942-6226
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.26 of 100
- Quality
- 96.06
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Pain Management, PC | Interventional Pain Medicine | Current | Accepting new patients |
| Central Maine Medical Center | Interventional Pain Medicine | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Brian E Kaufman, DO, LLC | Interventional Pain Medicine | Past | Accepting new patients |
Locations
1365 Broadway
Bangor, ME 04401
Phone (207) 942-2233
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 4
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.
-
- Interventional Pain Medicine Physician
- Bangor, ME
- NPI 1578579868
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
Interventional Pain Medicine
-
dba Total Health and Spine
- Interventional Pain Medicine Physician
- Wells, ME
- NPI 1578965521
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1619996063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012401",
"telephone_number": "207-942-6226",
"fax_number": "207-992-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012401",
"telephone_number": "207-942-6226",
"fax_number": "207-992-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "BRIAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-07-17",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NH",
"license": "18970",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "ME",
"license": "1984",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NH",
"license": "18970",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "1984",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NH",
"license": "18970",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3107372",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.