Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIGHAM R MCKENNEY, PA
Active Sole ProprietorBRIGHAM R MCKENNEY, PA is a Sports Medicine (Orthopaedic) healthcare provider located in SOUTH PORTLAND, Maine. NPI 1255605218 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1255605218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2012 (14.392537567371 yrs)
- Last Updated
- Dec 30, 2024
- Licenses
-
PA1320 (ME)PA1320 (ME)PA1320 (ME)PA1320 (ME)PA1320 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 JOHN ROBERTS RD STE 4CSOUTH PORTLAND, ME, 041066961Browse ME providers · Browse ZIP 04106
- Phone
- 2073895009
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.