DR. BRIAN DAVID MACDONALD (NPI# 1104832054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104832054 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DAVID MACDONALD |
| Credential | DPM |
| Practice Address |
81 Medical Center Dr Suite 2100 Brunswick ME 04011-2690 |
| Practice Telephone | 2077254008 |
| Practice Fax Number | 2077255749 |
| Mailing Telephone | (207) 725-4008 |
| Mailing Fax Number | 2077255749 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD 1070 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 433983899 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 690 Minot Ave, Auburn, ME 042103922 | 2077831328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104030485 | Brian James Macdonald | Physical Therapist | 8 Grove Ave, Wilmington, MA 01887-2015 | 2007-05-09 |
| 1982610804 | Brian Macdonald | Chiropractor | 3280 Adeline St, Berkeley, CA 94703-2439 | 2006-07-31 |
| 1356705883 | Brian Alexander Macdonald Jr. | Internal Medicine | 462 Grider St, David K. Miller Building, Internal Medicine Residency, Buffalo, NY 14215-3021 | 2016-04-11 |
| Street Address |
81 MEDICAL CENTER DR SUITE 2100 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518144 | Jessica L Buckner | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
| 1598130411 | Rebecca Howe | Dietitian, Registered | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2015-12-03 |
| 1588066203 | Carroll Clinical Consulting Pllc | Internal Medicine | 81 Medical Center Dr, Ste 1300, Brunswick, ME 04011-2764 | 2014-09-25 |
| 1780095786 | Claire Ross | Nurse Practitioner | 81 Medical Center Dr, Suite 2150, Brunswick, ME 04011-2764 | 2014-05-13 |
| 1104122936 | Michael David Kipp | Assistant, Podiatric | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2764 | 2011-01-26 |
| 1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
| 1871767699 | Alison R Fernald | Nutritionist | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2008-04-14 |
| 1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
| 1770703811 | Kristen Jane Schroeder-cyr | Nurse Practitioner | 81 Medical Center Dr, Suite 2300, Brunswick, ME 04011-2764 | 2007-04-30 |
| 1649312638 | Liana Belle Kelly | Nurse Practitioner | 81 Medical Center Dr, Ste 2200, Brunswick, ME 04011-2765 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581744 | Larry B Dyal Jr. | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2005-10-13 |
| 1629447511 | Coastal Foot and Ankle Specialist, LLC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2015-09-21 |
| 1255572111 | Dwight S Blease | Podiatrist | 10 Cushing St, Brunswick, ME 04011-1801 | 2009-03-23 |
| 1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
| 1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
| 1588784409 | Foot and Ankle Associates of Maine, P.a. | Podiatrist | 310 Bath Rd, Brunswick, ME 04011 | 2007-04-02 |
| 1972580009 | Daniel Chester Buck | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-29 |
| 1326023367 | Michael Carl Saraydarian | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1437265535 | David Joseph Micca | Podiatrist | 4 Morning Walk Ln, Kennebunk, ME 04043-7786 | 2006-08-22 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
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| 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.