Charles S Burger, MD
Individual provider Active NPI Family Medicine Physician · Bangor, ME
NPI 1669402129 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1669402129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD6644 (ME)
- Practice address
- 700 Mt Hope Ave
Suite 650 Norumbega Evergreen Woods
Bangor, ME 04401-5691 - Phone
- (207) 945-5048
- Fax
- (207) 992-9515
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD6644 | ME | Yes |
Addresses
Primary practice location
700 Mt Hope Ave
Suite 650 Norumbega Evergreen Woods
Bangor, ME 04401-5691
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114300099 | Medicaid | ME |
Other providers in Bangor, ME
- Roy Buitrago
- Angela Bull
- Robert E Bullard
- Merri-Beth Bumpus
- Melissa Burch
- Thomas Paul Burian
- Judy A Burk
- Galen Leroy Burke II
- Maureen G Burke
- Dennis Burns
All providers in Bangor, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.