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DR. JODI-MARIE GALLARDO M.D.
NPI 1235767336
Pediatrics in Bangor, ME

Active since April 01, 2020PECOS Enrolled
133 CORPORATE DRIVE, BANGOR, ME 04401(207) 947-1155 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2023, Jul 6, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Dr. Jodi-marie Gallardo M.d. NPPES

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

DR. JODI-MARIE GALLARDO M.D. (NPI 1235767336) is an individual pediatrics provider in Bangor, Maine, licensed in Maine (MD26506) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235767336
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JODI-MARIE GALLARDOCredential: M.D.
Location Address133 CORPORATE DRIVEBangor, ME 04401-4312
Mailing Address133 Corporate DriveBangor, ME 04401-4312 · (207) 941-1155
Phone(207) 947-1155
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1235767336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD26506
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
133 CORPORATE DRIVE, Bangor, ME 04401
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Other Names 1

Former Name (1)Dr. Jodi-marie Brown M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jodi-marie Gallardo M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNBURY PRIMARY CARE, P.A.
Physical Therapist
133 CORPORATE DRIVE, SUITE 2
BANGOR, ME 04401
Penobscot County (207) 992-9286
SUNBURY PRIMARY CARE, P.A.
Family Medicine
133 CORPORATE DRIVE, SUITE 5
BANGOR, ME 04401
Penobscot County (207) 990-0864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi-marie Gallardo's NPI number?

The NPI number for Jodi-marie Gallardo is 1235767336. It was assigned to this individual provider in the NPPES registry on April 1, 2020. The provider is also known as Dr. Jodi-Marie Brown M.D..

Where is Jodi-marie Gallardo located?

Jodi-marie Gallardo practices at 133 Corporate Drive, Bangor, ME 04401. The listed phone number is (207) 947-1155.

What is Jodi-marie Gallardo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jodi-marie Gallardo enrolled in Medicare?

Yes. Jodi-marie Gallardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodi-marie Gallardo was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.