Individual provider Active NPI

Bernard J Quigley, MD

  • Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1902831035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
015043 Issued in ME
Practice address
656 State St
Bangor, ME 04401-5609
Phone
(207) 941-4036
Fax
(207) 941-4062
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 015043 ME Primary

Addresses

Primary practice location

656 State St
Bangor, ME 04401-5609

Mailing address

59 Miles Rd
Newburgh, ME 04444-4732
Phone (207) 941-4398

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000297 ME Practitioner - Psychiatry 0941223960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of MaineGroup PAC ID 7517875131, 19 clinicians

Practice addresses (Care Compare)

656 State St
Bangor, ME 04401-5609
Phone (207) 941-4000

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015043MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Jan 20, 2010 Accepting new patients
State of Maine CurrentSince Jan 20, 2010 Accepting new patients
State of Maine Past Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

656 State St
Bangor, ME 04401
Phone (207) 941-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902831035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MILES RD",
            "city": "NEWBURGH",
            "state": "ME",
            "postal_code": "044444732",
            "telephone_number": "207-941-4398",
            "fax_number": "207-941-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015609",
            "telephone_number": "207-941-4036",
            "fax_number": "207-941-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "BERNARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "015043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.