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BRUCE BROKAW P.A.-C.
NPI 1316159072
Physician Assistant - Medical in Wells, ME

Active since May 04, 2007
400 CAPTAIN THOMAS ROAD, WELLS, ME 04090(603) 740-3293 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Brokaw P.a.-c. NPPES

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

BRUCE BROKAW P.A.-C. (NPI 1316159072) is an individual medical provider in Wells, Maine, licensed in New Hampshire (0170) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316159072
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRUCE BROKAWCredential: P.A.-C.
Location Address400 CAPTAIN THOMAS ROADWells, ME 04090-7552
Mailing Address400 Captain Thomas Rd, WellsMaine, ME 04090 · (603) 740-3293
Phone(603) 740-3293
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316159072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NH · 0170
400 CAPTAIN THOMAS ROAD, Wells, ME 04090
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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 Bruce Brokaw's NPI number?

The NPI number for Bruce Brokaw is 1316159072. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Bruce Brokaw located?

Bruce Brokaw practices at 400 Captain Thomas Road, Wells, ME 04090. The listed phone number is (603) 740-3293.

What is Bruce Brokaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Bruce Brokaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.