Brenda M Roy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

015567 Issued in ME

Practice address

163 Van Buren Rd
Caribou, ME 04736-3567

Phone

(207) 498-3111

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Vermont College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of CaribouGroup PAC ID 6800707811, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cary Medical Center Hospital, Caribou, ME, CCN 200031
• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
• Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Medicare reassignment Care Compare group
• Northern Radiological Associates

  • Specialist
  • Presque Isle, ME
  • NPI 1386677169
  NPD (past)
• Spectrum Healthcare Partners, PA

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Fort Kent, ME
  • NPI 1144073297

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Madawaska, ME
  • NPI 1285487330

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Care Compare affiliation
• The Aroostook Medical Center

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1891728655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HARDISON RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363743",
            "telephone_number": "207-498-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363567",
            "telephone_number": "207-498-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 2nd St",
            "address_purpose": "LOCATION",
            "city": "Presque Isle",
            "state": "ME",
            "postal_code": "047692637",
            "country_code": "US",
            "telephone_number": "207-762-4641",
            "fax_number": "207-762-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "015567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258990099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300134385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "042816",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Marie Rossignol, APRN FNP
• Briana Rossignol, RN
• Kjetil Christian Rossignol, DMD
• Mark J Rossignol, PT
• Tricia Martin Rossignol, PT
• Rsu 39
• Kathryn Rutledge, M.D.
• Michael Saucier, CRNA
• James Patrick Savage, O.D.
• Angela Mae Martin Scheibler, DPT

• Specialist in Caribou, ME
• Providers in Caribou, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.

Verify at the official NPI Registry.