NPI 1154411882 · live from the CMS NPI Registry
Benjamin R. Bamford, MD
Radiology, Diagnostic Radiology in Bangor, ME. National Provider Identifier 1154411882, active.
NPI record
| NPI | 1154411882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 489 State St, Bangor, ME 04401 |
| Practice phone | 207-973-8150 |
| Mailing address | 324 Gannett Dr Ste 200, South Portland, ME 04106 |
| Enumerated | October 13, 2006 |
| Last updated | June 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 042-0014355 (VT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD14657 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.