David M. Hallbert, MD LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R014171 Issued in ME

Legal business name

DAVID M. HALLBERT, MD LLC

Practice address

16 Fahey St Ste 108
Belfast, ME 04915-6029

Phone

(207) 338-5353

Fax

(207) 338-0146

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

David Mason Hallbert, MDNPI 1528023702

Title

President

Phone

(207) 338-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mason Hallbert, MD

  • Internal Medicine Physician
  • Bangor, ME
  • NPI 1528023702
  NPD (past) Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992908479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 108",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-338-5353",
            "fax_number": "207-338-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAHEY ST STE 108",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156029",
            "telephone_number": "207-338-5353",
            "fax_number": "207-338-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. HALLBERT, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-338-5353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R014171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "046818",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy P Cyr, PA-C
• Deborah Czuchra, RN-NP
• Amy Beth Damboise
• Eleanor Goddard Daniels, CPM
• David a Thanhauser
• Barbara V Davis, LCSW
• Cheryl Rose Deane, PA-C
• Matthew Decoteau, PHARM.D.
• Sarah Delaney, OTR/L
• James C Delehanty, M.D.

• All providers in Belfast, ME
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.