Active NPI
Edward B Pontius, MD
- Psychiatry Physician
- Brunswick, ME
National Provider Identifier
1821167685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 015058
- Practice address
- 329 Bath Rd
Brunswick, ME 04011-2673 - Phone
- (800) 434-3000
- NPI assigned
- Nov 7, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 015058 | ME | Primary |
Addresses
Primary practice location
329 Bath Rd
Brunswick, ME 04011-2673
Mailing address
329 Bath Rd
Brunswick, ME 04011-2673
Phone (800) 434-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334190099 | Other | ME | SERVICING PROVIDER NO. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015058 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1821167685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 BATH RD",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112673",
"telephone_number": "800-434-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 BATH RD",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112673",
"telephone_number": "800-434-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTIUS",
"first_name": "EDWARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "015058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SERVICING PROVIDER NO.",
"identifier": "334190099",
"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 Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.