ERICA BRASLEY MD
NPI 1003505918
Student in an Organized Health Care Education/Training Program in Portland, ME

Q: What is Erica Brasley's NPI number?

The NPI number for Erica Brasley is 1003505918. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Q: What is Erica Brasley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Brasley was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2023PECOS Enrolled

22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, May 5, 2023 (2 updates tracked since 2023).

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About Erica Brasley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA BRASLEY MD (NPI 1003505918) is an individual student in an organized health care education/training program in Portland, Maine, licensed in Maine (EC241065) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dubois.

NPPES Registry Identity

NPI1003505918

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameERICA BRASLEYCredential: MD

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3175 · (207) 662-0111

Phone(207) 662-0111

Sole ProprietorNo

Enumeration DateMay 5, 2023

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1003505918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in ME · EC241065

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Location 1

Location 1635 Hospital AvenueDuBois, PA 15801 · Phone (814) 375-6379 · Fax (814) 372-2535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica Brasley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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