NPI 1164569547 · live from the CMS NPI Registry
Michael J. Bedecs, D.O.
Family Medicine in Portland, ME. National Provider Identifier 1164569547, active.
NPI record
| NPI | 1164569547 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1375 Congress St, Portland, ME 04102 |
| Practice phone | 207-409-8500 |
| Enumerated | February 1, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 904 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.