Active NPI
Mark T Branda, MD
- Gastroenterology Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD17628
- Practice address
- 77 Bates St
Suite 200
Lewiston, ME 04240 - Phone
- (207) 784-5784
- Fax
- (207) 784-1477
- NPI assigned
- Apr 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | LP00462 | RI | |
| Gastroenterology Physician | 207RG0100X | MD17628 | ME | Primary |
Addresses
Primary practice location
77 Bates St
Suite 200
Lewiston, ME 04240
Mailing address
6451 N Federal Hwy Ste 700
Fort Lauderdale, FL 33308-1420
Phone (855) 808-2723
Other practice location 1
121 Medical Center Dr Ste 3400
Brunswick, ME 04011-2675
Phone (207) 406-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Vermont College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Medical Ctr Dr
Suite 3400
Brunswick, ME 04011-2675
Phone (207) 406-7300
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 50 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00462 | RI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
121 Medical Center Dr
Ste 3400
Brunswick, ME 04011
Phone (207) 406-7300
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
77 Bates St
Ste 200
Lewiston, ME 04240
Phone (207) 784-5784
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
Interoperability endpoints
- mbranda237827@direct.mmc.mainehealth.org
- mbranda1401902@direct.bsmhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
-
dba St. Mary's Urgent Care
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1407242522
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Mid Coast Hospital
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1861619058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 N FEDERAL HWY STE 700",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081420",
"telephone_number": "855-808-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 BATES ST",
"address_2": "SUITE 200",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-784-5784",
"fax_number": "207-784-1477"
}
],
"practiceLocations": [
{
"address_1": "121 Medical Center Dr Ste 3400",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112675",
"country_code": "US",
"telephone_number": "207-406-7300",
"fax_number": "207-835-4736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDA",
"first_name": "MARK",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "LP00462",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "MD17628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.