MR. ALEXANDER BRAZALOVICH (NPI# 1295787133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295787133 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER BRAZALOVICH |
| Credential | DO |
| Practice Address |
813 Main St Massabesic Regional Medical Center Waterboro ME 04087-3006 |
| Mailing Address |
33 Douglas Ave Saco ME 04072-9732 |
| Practice Telephone | 2072476131 |
| Practice Fax Number | 2072476675 |
| Mailing Telephone | 2072832842 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1364 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSE | 1364 | 01 |
| ME | BCBS START NUMBER | 037872 | 01 |
| ME | 285210099 | 05 | |
| ME | CIGNA | 7659431002 | 01 |
| ME | DEA | BB6499380 | 01 |
| ME | HARVARD | MN3424 | 01 |
| Street Address |
813 MAIN ST MASSABESIC REGIONAL MEDICAL CENTER |
| City | WATERBORO |
| State | ME |
| Zip Code | 04087-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935529 | Craig R Wallingford | Family Medicine | 813 Main St, Massabesic Regional Medical Center, Waterboro, ME 04087-3006 | 2006-01-09 |
| 1619498045 | Kelcy Frye Mcnamara | Specialist | 813 Main St, Waterboro, ME 04087-3006 | 2017-07-06 |
| 1700247467 | Peck's Family Acupuncture | Acupuncturist | 813 Main St, Suite C, Waterboro, ME 04087-3006 | 2016-03-09 |
| 1659599413 | Wayne Lariviere | Dentist | 813 Main St, B, Waterboro, ME 04087-3006 | 2007-04-24 |
| 1225180920 | Arnold Gardner Davis Jr. | Social Worker | 813 Main St, Waterboro, ME 04087-3006 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470701 | Brett Dinovi Associates North | Behavioral Analyst | 305 Aa Main Street, Waterboro, ME 04087 | 2018-09-07 |
| 1982183075 | Adam Robert King | Physical Therapist | 392 Main Street, Waterboro, ME 04087 | 2018-08-09 |
| 1942723283 | Generations, LLC | Community/Behavioral Health | 912 Main St., Waterboro, ME 04087 | 2017-07-19 |
| 1003210345 | Megan R Berman | Counselor | 1003 Main Street, Waterboro, ME 04087 | 2014-10-15 |
| 1821376534 | Whitney G Lailer | Physical Therapist | 392 Main St., Waterboro, ME 04087 | 2011-07-29 |
| 1215945084 | John J Romprey Jr. | Social Worker | 860 Main Street, Waterboro, ME 04087 | 2006-08-04 |
| 1629099585 | Town of Waterboro Maine | Ambulance | 6 John Smith Rd, Waterboro, ME 04087 | 2006-07-23 |
| 1275997520 | Kristina Mariner | Massage Therapist | 935 Main St, Waterboro, ME 04087 | 2016-04-12 |
| 1700111408 | Saco River Senior Services Inc | Community/Behavioral Health | 802 Main Street, Waterboro, ME 04087 | 2009-10-14 |
| 1528393220 | Saco River Senior Services Inc | Home Health | 802 Main Street, Waterboro, ME 04087 | 2009-10-14 |
| Find all providers in zip 04087 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386731552 | Massabesic Regional Medical Center | Family Medicine | 813 Main Street, Waterboro, ME 04027 | 2006-10-06 |
| 1417935529 | Craig R Wallingford | Family Medicine | 813 Main St, Massabesic Regional Medical Center, Waterboro, ME 04087-3006 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887025 | Down East Community Hospital | Family Medicine | 1039 Main St, East Machias, ME 04630 | 2020-10-08 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1649889874 | Kateri Jeffery | Family Medicine | 12 Shuman Ave Ste 3, Augusta, ME 04330-6020 | 2020-07-23 |
| 1063064285 | Victoria A Deane | Family Medicine | 37 Fall Brook St, Portland, ME 04103-4224 | 2019-07-09 |
| 1265961148 | Full Circle America LLC | Family Medicine | 73 Cedar Ln, Nobleboro, ME 04555-8664 | 2017-06-05 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1730541749 | Benjamin Slocum | Family Medicine | 126 Shaker Rd, Gray, ME 04039-9629 | 2016-03-28 |
| 1295129393 | Oren Gersten | Family Medicine | 27 Ocean St Ste 3, South Portland, ME 04106-2854 | 2015-03-26 |
| 1205240678 | Martha Gilman | Family Medicine | 66 Leighton Rd Ste 2, Falmouth, ME 04105-2225 | 2014-06-13 |
| 1568875565 | Thomas Albert | Family Medicine | 300 Professional Dr Ste 2c, Scarborough, ME 04074-8897 | 2014-06-06 |
| 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.