Active NPI
Edward Schmidt, MD
- Internal Medicine Physician
- Brunswick, ME
National Provider Identifier
1679587125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008509
- Practice address
- 74 Baribeau Dr
Brunswick, ME 04011-3218 - Phone
- (207) 798-4050
- Fax
- (207) 798-4018
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008509 | ME | Primary |
Addresses
Primary practice location
74 Baribeau Dr
Brunswick, ME 04011-3218
Mailing address
PO Box 9746
Portland, ME 04104-5040
Phone (207) 828-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287530099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1679587125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9746",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041045040",
"telephone_number": "207-828-2449",
"fax_number": "207-828-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113218",
"telephone_number": "207-798-4050",
"fax_number": "207-798-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "008509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287530099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.