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MID-COAST SPINE & SPORT
NPI 1669052601
Chiropractor in Boothbay, ME

Active since April 13, 2021
957 WISCASSET RD, STE 4, BOOTHBAY, ME 04537(207) 315-6388(207) 315-6359 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2021, Apr 29, 2021, Apr 13, 2021 (3 updates tracked since 2021).

About Mid-coast Spine & Sport NPPES

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

MID-COAST SPINE & SPORT (NPI 1669052601) is a healthcare organization registered as a chiropractor in Boothbay, Maine and active in the NPI registry since April 2021. The organization lists Brady Robert Fergola, Owner, as its authorized official.

NPPES Registry Identity

NPI1669052601
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMID-COAST SPINE & SPORT
Location Address957 WISCASSET RD, STE 4Boothbay, ME 04537-4618
Mailing AddressPo Box 355Boothbay, ME 04537-0355 · (207) 315-6388 · Fax (207) 315-6359
Phone(207) 315-6388
Fax(207) 315-6359
Organization SubpartNo
Authorized OfficialBrady Robert FergolaOwner · (207) 633-5500
Enumeration DateApril 13, 2021
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1669052601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
957 WISCASSET RD, Boothbay, ME 04537
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-coast Spine & Sport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid-Coast Spine & Sport, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brady Fergola, DC
Chiropractic
NPI 1982263976
18 WEST ST
Boothbay Harbor, ME 04538
(207) 633-5500
✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mid-Coast Spine & Sport's NPI number?

The NPI number for Mid-Coast Spine & Sport is 1669052601. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Mid-Coast Spine & Sport located?

Mid-Coast Spine & Sport is located at 957 Wiscasset Rd Ste 4, Boothbay, ME 04537. The listed phone number is (207) 315-6388.

What is Mid-Coast Spine & Sport's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mid-Coast Spine & Sport enrolled in Medicare?

Yes. Mid-Coast Spine & Sport is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Coast Spine & Sport?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mid-Coast Spine & Sport. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid-Coast Spine & Sport was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.