Ellen J. Bentley, M.D., P.a.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

013186 Issued in ME

Legal business name

ELLEN J. BENTLEY, M.D., P.A.

Practice address

700 Mount Hope Ave
Suite 430
Bangor, ME 04401-5691

Phone

(207) 945-4300

Fax

(207) 945-0755

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Ellen J Bentley, M.D.

Title

Owner

Phone

(207) 945-4300

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1831275684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "SUITE 430",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-945-4300",
            "fax_number": "207-945-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "SUITE 430",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-945-4300",
            "fax_number": "207-945-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN J. BENTLEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-945-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ME",
            "license": "013186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA IND",
            "identifier": "2645719",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "041320",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "M7321",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135340000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treylor M Elder, CFNP
• April L Eldridge, LCPC-C
• Crystle Eldridge, PMHNP
• Rayan Ahmed Abdalla Elhag, M.D.
• Ali Elamin Abbas Elkhedr
• Amanda Elliott, ADCA
• Sara Elliott, LCPC
• Bonnie J Ellis
• Carolyn Ellis, DO
• Joan J Ellis

• Gynecology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.