Brooke B Surran
Pediatrician Child Neurologist
133 Corporate Dr 1st Floor
Bangor
, Maine 04401-4312
Brooke B Surran
Pediatrician Child Neurologist
133 Corporate Dr 1st Floor
Bangor
, Maine 04401-4312
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Brooke B Surran
- 43 Whiting Hill Rd Suite 300
- Brewer, ME
- Zip : 04412-1005
- Phone :
Second Address
- Brooke B Surran
- 133 Corporate Dr 1st Floor
- Bangor, ME
- Zip : 04401-4312
- Fax : (207) 973-7674
- Phone : (207) 275-4290
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 259760 | MA |
| Y | 2084N0402X | Child Neurologist | MD21250 | ME |
National Provider Identifier
| NPI | 1326281817 |
|---|---|
| Provider Name | Brooke B Surran |
| First Address | Brewer, ME 04412-1005 |
| Second Address | Bangor, ME 04401-4312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2009 |
| Last Update Date | 17/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.