MARY C BRANDES (NPI# 1013908037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013908037 |
| Entity Type | Individual |
| Full Name | MARY C BRANDES |
| Credential | MD |
| Practice Address |
100 Brickhill Ave South Portland ME 04106-1999 |
| Mailing Address |
301 Us Route 1 Building C Scarborough ME 04074-7609 |
| Practice Telephone | 2077611502 |
| Practice Fax Number | 2077742015 |
| Mailing Telephone | 2073968600 |
| Mailing Fax Number | 2073968632 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD12242 | ME | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD12242 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 324350099 | 05 | |
| ME | AETNA | 1040667 | 01 |
| ME | ANTHEM | 000767 | 01 |
| ME | GBA PALMETTO/RR MEDICARE | 160028955 | 01 |
| NH | 30003368 | 05 | |
| ME | CIGNA | M9420 | 01 |
| Street Address |
100 BRICKHILL AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| 1689217903 | Natalia Valentinovna Tonseth | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1427691765 | Sarah Melissa Carter | Registered Nurse | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2019-10-18 |
| 1801318654 | Abdul Rahman Qani | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-07-13 |
| 1366989824 | Moira Burke | Dietitian, Registered | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2017-01-23 |
| 1639622756 | Courtney Myles | Nurse Practitioner | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2016-07-25 |
| 1700258779 | Portland Community Health Center | Clinic/Center | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-29 |
| 1255703955 | Christopher Nilsson | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2015-10-21 |
| 1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
| 1417350901 | Melissa N Libby Fnp LLC | Point of Service | 100 Brickhill Ave, Suite 304, South Portland, ME 04106-1999 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052253 | Jorge F Peacher | Obstetrics & Gynecology | 10 Wayman Ln, Bar Harbor, ME 04609-1625 | 2005-12-06 |
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on MARY C BRANDES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.