Mary C Brandes
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
100 Brickhill Ave
South Portland
, Maine 04106-1999
Mary C Brandes
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
100 Brickhill Ave
South Portland
, Maine 04106-1999
(207) 396-8632
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Mary C Brandes
- 301 Us Route 1 Building C
- Scarborough, ME
- Zip : 04074-7609
- Fax : (207) 396-8632
- Phone : (207) 396-8600
Second Address
- Mary C Brandes
- 100 Brickhill Ave
- South Portland, ME
- Zip : 04106-1999
- Fax : (207) 774-2015
- Phone : (207) 761-1502
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD12242 | ME |
| N | 207VG0400X | Gynecologist | MD12242 | ME |
National Provider Identifier
| NPI | 1013908037 |
|---|---|
| Provider Name | Mary C Brandes |
| First Address | Scarborough, ME 04074-7609 |
| Second Address | South Portland, ME 04106-1999 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2005 |
| Last Update Date | 25/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000767 | ANTHEM (01) | ME |
| 1040667 | AETNA (01) | ME |
| 160028955 | GBA PALMETTO/RR MEDICARE (01) | ME |
| 30003368 | (05) | NH |
| 324350099 | (05) | ME |
| B58116 | (02) | ME |
| M9420 | CIGNA (01) | ME |
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.