BRIAN J FORTIE
NPI 1255626784
Physician Assistant - Medical in Skowhegan, ME

Q: What is Brian Fortie's NPI number?

The NPI number for Brian Fortie is 1255626784. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Q: What is Brian Fortie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Fortie was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2011PECOS Enrolled

46 FAIRVIEW AVE, SKOWHEGAN, ME 04976(207) 474-5121(207) 474-3441 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2021, Mar 22, 2017 (2 updates tracked since 2017).

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About Brian J Fortie NPPES

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

BRIAN J FORTIE (NPI 1255626784) is an individual medical provider in Skowhegan, Maine, licensed in Maine (PA286) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255626784

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBRIAN J FORTIE

Location Address46 FAIRVIEW AVESkowhegan, ME 04976-1481

Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 858-8367 · Fax (207) 474-9261

Phone(207) 474-5121

Fax(207) 474-3441

Sole ProprietorNo

Enumeration DateJune 13, 2011

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1255626784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ME · PA286

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA286 (ME)

46 FAIRVIEW AVE, Skowhegan, ME 04976

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Other Identifiers 1

Medicaid12255626784ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian J Fortie 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.