MISS BRANDY ELDRIDGE (NPI# 1588140347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588140347 |
| Entity Type | Individual |
| Full Name | MISS BRANDY ELDRIDGE |
| Credential | PA-C |
| Practice Address |
55 Broadway Bangor ME 04401-5201 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079470469 |
| Mailing Telephone | 2079737000 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1822 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205142049 | Brandy Melissa Eldridge | Psychologist | Msc06 3870, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-08-30 |
| Street Address |
55 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913433 | Ali Khavari | Urology | 55 Broadway, Suite 2, Bangor, ME 04401-5201 | 2005-06-21 |
| 1710354238 | Lisa Dawn Smith | Nurse Practitioner | 55 Broadway, Suite #2, Bangor, ME 04401-5201 | 2015-09-01 |
| 1437542156 | Joyce Marie Remeschatis | Registered Nurse | 55 Broadway, Suite 2, Bangor, ME 04401-5201 | 2015-03-05 |
| 1881034049 | John M Schnell | Nurse Practitioner | 55 Broadway, Bangor, ME 04401-5201 | 2013-07-02 |
| 1194058552 | Mary Kay Deighan | Registered Nurse | 55 Broadway, Bangor, ME 04401-5201 | 2009-09-16 |
| 1790823714 | Jennifer R Sinclair | Counselor | 55 Broadway, Bangor, PA 18013-2665 | 2007-02-02 |
| 1154406528 | Michael Thomas Bauer | Chiropractor | 55 Broadway, Bangor, PA 18013-1706 | 2006-10-26 |
| 1033294418 | Bangor Chiropractic, Inc. | Chiropractor | 55 Broadway, Bangor, PA 18013-1706 | 2006-10-26 |
| 1346337151 | David A Branch | Specialist | 55 Broadway, Bangor, ME 04401-5201 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1548259211 | Corianne L O'donnell | Physician Assistant | 103 Skyline Rd, Bangor, ME 04401-2158 | 2005-10-17 |
| 1497751812 | Nelson E Meaker | Physician Assistant | 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 | 2005-06-21 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1710521950 | Allison Rose Bassam Harb | Physician Assistant | 931 Union St, Bangor, ME 04401-3011 | 2019-10-31 |
| 1306323613 | Ameena Fauq | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-07-20 |
| 1891289963 | Benjamin Schmidt | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2018-06-21 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| 1083164933 | Brandi Lyon | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-10-04 |
| Find all providers in BANGOR | ||||
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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.