DR. WILLARD ALFRED BREDENBERG (NPI# 1962487363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962487363 |
Entity Type | Individual |
Full Name | DR. WILLARD ALFRED BREDENBERG |
Credential | MD |
Practice Address |
250 Arsenal Street 11 Shs Augusta ME 04333-0011 |
Mailing Address |
339 Webster St Lewiston ME 04240-5548 |
Practice Telephone | 2076244657 |
Practice Fax Number | 2072876123 |
Mailing Telephone | 2077845251 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
008725 | ME | Allopathic & Osteopathic Physicians |
Street Address |
250 ARSENAL STREET 11 SHS |
City | AUGUSTA |
State | ME |
Zip Code | 04333-0011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821079252 | Doris D Solmitz | Nurse Practitioner | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0011 | 2005-11-11 |
1235588203 | Alex Joseph Klein | Counselor | 250 Arsenal Street, Augusta, ME 04332-0011 | 2016-06-09 |
1003138280 | Gregory J Skillman | Social Worker | 250 Arsenal Street, Augusta, ME 04330 | 2010-02-16 |
1629230982 | Paula J Dalzell-kenney | Physician Assistant | 250 Arsenal Street, Augusta, ME 04333-0011 | 2008-06-27 |
1326081076 | Grace Odimayo | Dentist | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2006-06-13 |
1538144860 | George Edward Davis | Internal Medicine | 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962757476 | Stacia K St. John | Registered Nurse | 1 Togus Ctr, Augusta, ME 04333-0001 | 2012-07-20 |
1649413360 | State of Maine | Case Management | 32 Blossom Ln, Augusta, ME 04333-0001 | 2009-04-10 |
1487864930 | Shaun Quimby | Social Worker | 1 Weston Ct Fl 3, Augusta, ME 04333-0001 | 2007-05-23 |
1689793077 | Elsie J Freeman | Psychiatry & Neurology | Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 | 2007-03-28 |
1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
1053317164 | Peter J Mascetta | Radiology | 6 East Chestnut Street, Augusta, ME 04333-0001 | 2005-06-23 |
1013987403 | Teresa M Mayo | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
1295705671 | Tatiana W Gregor | Psychologist | 250 Arsenal St, 11 Shs, Augusta, ME 04333-0001 | 2006-01-26 |
1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
1356678387 | State of Maine | Public Health or Welfare | 286 Water Street, 9th Floor, Augusta, ME 04333-0011 | 2009-11-12 |
Find all providers in zip 04333 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881219145 | Mandeep Singh | Psychiatry & Neurology | 1103 15th St, Augusta, GA 30901-3111 | 2020-06-12 |
1427673797 | Amanda Seamon | Psychiatry & Neurology | 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 | 2020-06-12 |
1538622873 | Daniel Duong Phan | Psychiatry & Neurology | 1459 Laney Walker Blvc Ae-3042, Augusta, GA 30912-0001 | 2019-04-12 |
1427549567 | Ozioma Nwaigwe | Psychiatry & Neurology | 1120 15th St Augusta, Augusta, GA 30912-0001 | 2018-05-24 |
1568845881 | Jacqueline Locrotondo | Psychiatry & Neurology | 1465 Laney Walker Blvd Pavilion II Af 1040, Augusta, GA 30912-0004 | 2015-07-06 |
1093198723 | Erin Dexter | Psychiatry & Neurology | 1022 15th St, Augusta, GA 30912-0004 | 2015-06-30 |
1427394402 | Kenneth D. Jones M.d., P.C. | Psychiatry & Neurology | 1430 Harper St Ste C2, Augusta, GA 30901-0621 | 2012-12-20 |
1871854174 | Patrick Killoran | Psychiatry & Neurology | 1 Va Ctr # 118e, Togus Va Medical Center, Augusta, ME 04330-6719 | 2012-06-04 |
1477766640 | Deborah J Wear-finkle | Psychiatry & Neurology | 592 Riverside Dr, #8, Augusta, ME 04330-3813 | 2007-05-07 |
1689793077 | Elsie J Freeman | Psychiatry & Neurology | Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 | 2007-03-28 |
Find all providers in AUGUSTA |
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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.