Individual provider Active NPI

Jillian Joy Dur, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
National Provider Identifier
1942647862
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
DO2728 Issued in ME
Practice address
66 Bramhall St Ste G1
Portland, ME 04102-3344
Phone
(207) 662-2847
NPI assigned
Jun 1, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102204289 VA
Geriatric Medicine (Family Medicine) Physician 207QG0300X DO2728 ME Primary

Addresses

Primary practice location

66 Bramhall St Ste G1
Portland, ME 04102-3344

Mailing address

66 Bramhall St
Portland, ME 04102-3344
Phone (207) 662-2847

Other practice location 1

2116 W Laburnum Ave
Richmond, VA 23227-4359
Phone (804) 254-3500

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
I20171003007639 ME Practitioner - Geriatric MedicinePractitioner - Family Practice 6608091541 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204289VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 18, 2017 Accepting new patients
Maine Medical Partners CurrentSince Sep 18, 2017 Accepting new patients
Maine Medical Partners Family Medicine CurrentSince Jan 22, 2018 Accepting new patients
Maine Medical Partners CurrentSince Sep 18, 2017 Accepting new patients
Mainehealth Family Medicine CurrentSince Sep 18, 2017 Accepting new patients
Mainehealth CurrentSince Sep 18, 2017 Accepting new patients
Mainehealth Current Accepting new patients
Pcal, LLC Past Accepting new patients
Pcal, LLC Past Accepting new patients
MCV Associated Physicians Family Medicine Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

66 Bramhall St
Ste G1
Portland, ME 04102
Phone (207) 662-2847

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942647862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRAMHALL ST STE G1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023344",
            "telephone_number": "207-662-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 W Laburnum Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232274359",
            "country_code": "US",
            "telephone_number": "804-254-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUR",
        "first_name": "JILLIAN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204289",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "DO2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.