MARK GRANT MD
NPI 1669610960
Surgery - Trauma Surgery in Bangor, ME

Active since January 26, 2009PECOS Enrolled
489 STATE ST, BANGOR, ME 04401(207) 973-7000(207) 973-5042 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2019, Dec 15, 2016 (2 updates tracked since 2016).

About Mark Grant Md NPPES

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

MARK GRANT MD (NPI 1669610960) is an individual trauma surgery provider in Bangor, Maine, licensed in Maine (018796) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669610960
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameMARK GRANTCredential: MD
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address43 Whiting Hill Rd, Ste 300Brewer, ME 04412-1005 · (207) 973-5035 · Fax (207) 973-5042
Fax(207) 973-5042
Sole ProprietorYes
Enumeration DateJanuary 26, 2009
Last NPPES UpdateMarch 4, 20192 updates tracked since enumeration
NPI 1669610960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in ME · 018796
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
489 STATE ST, Bangor, ME 04401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark Grant Md 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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

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 Mark Grant's NPI number?

The NPI number for Mark Grant is 1669610960. It was assigned to this individual provider in the NPPES registry on January 26, 2009.

Where is Mark Grant located?

Mark Grant practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-7000.

What is Mark Grant's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Mark Grant enrolled in Medicare?

Yes. Mark Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Grant was last updated on March 4, 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.