Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE BROKAW, P.A.-C.
ActiveMedical Physician Assistant · WELLS, ME
Registration Details
- NPI Number
- 1316159072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (18.966903798562 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0170 (NH)
Practice Information
- Address
-
400 CAPTAIN THOMAS ROADWELLS, ME, 040907552Browse ME providers · Browse ZIP 04090
- Phone
- 6037403293
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.