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Contact Information

BISHOP MEDICAL GROUP LLC
1250 FOREST AVE STE 201
PORTLAND, ME04103-6403
 Phone: 207-671-3047
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BISHOP MEDICAL GROUP LLC

NPI Number 1487256186
LBN Legal business name BISHOP MEDICAL GROUP LLC
Authorized official JOHN BURO - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2020
Last updated 06/03/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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