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BISHOP MEDICAL GROUP LLC
NPI 1487256186
Psychiatry & Neurology - Addiction Medicine in Portland, ME

Active since November 09, 2020CLIA 20D2218968 · Waiver
1250 FOREST AVE STE 201, PORTLAND, ME 04103(207) 671-3047 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2024, May 24, 2023, Nov 9, 2020 (3 updates tracked since 2020).

About Bishop Medical Group Llc NPPES

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

BISHOP MEDICAL GROUP LLC (NPI 1487256186) is a healthcare organization registered as an addiction medicine in Portland, Maine and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 31, 2027, maintains a secondary practice location in South Portland, and lists John Buro, Manager, as its authorized official.

NPPES Registry Identity

NPI1487256186
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameBISHOP MEDICAL GROUP LLC
Location Address1250 FOREST AVE STE 201Portland, ME 04103-6403
Mailing Address1250 Forest Ave Ste 201Portland, ME 04103-6403
Phone(207) 671-3047
Organization SubpartNo
Authorized OfficialJohn BuroManager · (207) 910-6580
Enumeration DateNovember 9, 2020
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1487256186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1250 FOREST AVE STE 201, Portland, ME 04103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Gannett DrSouth Portland, ME 04106-5900 · Phone (207) 910-6580

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2218968

Bishop Medical Group LLC · Portland, ME
Active · expires Mar 31, 2027
CLIA Number20D2218968
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorTamer Wassef
Laboratory Phone(207) 910-6580
Laboratory LocationBishop Medical Group LLC100 Gannett Drive Ste B, Portland, ME 04106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

GUARDIAN RECOVERY NETWORK
Clinic/Center (Rehabilitation, Substance Use Disorder)
1250 FOREST AVE STE 201
PORTLAND, ME 04103
Cumberland County (207) 203-7933
JENNIFER D WHYNOT CADC, CTRS, MHRT-C
Counselor (Addiction (Substance Use Disorder))
1250 FOREST AVE STE 201
PORTLAND, ME 04103
Cumberland County (207) 893-0488
JULIE D. C. SMITH
Nurse Practitioner (Psychiatric/Mental Health)
1250 FOREST AVE STE 201
PORTLAND, ME 04103
Cumberland County (207) 742-8558
JAMES DILLON
Counselor (Addiction (Substance Use Disorder))
1250 FOREST AVE STE 201
PORTLAND, ME 04103
Cumberland County (202) 910-0393
ROBERT TAYLOR LCSW, LADC, CCS
Social Worker (Clinical)
1250 FOREST AVE STE 201
PORTLAND, ME 04103
Cumberland County (207) 370-5458

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 Bishop Medical Group LLC's NPI number?

The NPI number for Bishop Medical Group LLC is 1487256186. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Bishop Medical Group LLC located?

Bishop Medical Group LLC is located at 1250 Forest Ave Ste 201, Portland, ME 04103. The listed phone number is (207) 671-3047.

What is Bishop Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Bishop Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2218968) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bishop Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bishop Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bishop Medical Group LLC was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.