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MAINE FUNCTIONAL MEDICINE
NPI 1427512904
Family Medicine in Bangor, ME

Active since January 29, 2019
33 PENN PLZ STE A, BANGOR, ME 04401(207) 941-0080(207) 941-0093 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maine Functional Medicine NPPES

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

MAINE FUNCTIONAL MEDICINE (NPI 1427512904) is a healthcare organization registered as a family medicine in Bangor, Maine and active in the NPI registry since January 2019. The organization lists Kelly Drake, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1427512904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAINE FUNCTIONAL MEDICINE
Location Address33 PENN PLZ STE ABangor, ME 04401-3619
Mailing Address33 Penn Plz Ste ABangor, ME 04401-3619 · (207) 941-0080 · Fax (207) 941-0093
Phone(207) 941-0080
Fax(207) 941-0093
Organization SubpartNo
Authorized OfficialKelly DrakeOffice Manager · (207) 941-0080
Enumeration DateJanuary 29, 2019
✔ NPI 1427512904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
33 PENN PLZ STE A, Bangor, ME 04401
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Other Identifiers 1

Other1053336206ME · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ACADIA FOOT & ANKLE, PA
Podiatrist (Foot & Ankle Surgery)
33 PENN PLZ STE A
BANGOR, ME 04401
Penobscot County (207) 947-2220

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 Maine Functional Medicine's NPI number?

The NPI number for Maine Functional Medicine is 1427512904. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Maine Functional Medicine located?

Maine Functional Medicine is located at 33 Penn Plz Ste A, Bangor, ME 04401. The listed phone number is (207) 941-0080.

What is Maine Functional Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Maine Functional Medicine was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.