NPI 1295267094 · live from the CMS NPI Registry
Nathan James Bankoff, M.D.
Family Medicine in South Portland, ME. National Provider Identifier 1295267094, active.
NPI record
| NPI | 1295267094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 100 Foden Rd, East, Suite 203, South Portland, ME 04106 |
| Practice phone | 207-874-1489 |
| Mailing address | 100 Gannett Dr Ste C, South Portland, ME 04106 |
| Enumerated | March 30, 2017 |
| Last updated | March 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD23974 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.