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MID-COAST SPINE & SPORT LLC
NPI 1851953475
Chiropractor in Boothbay Harbor, ME

Active since July 03, 2019
18 WEST ST, BOOTHBAY HARBOR, ME 04538(207) 357-4541 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Jul 3, 2019 (2 updates tracked since 2019).

About Mid-coast Spine & Sport Llc NPPES

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

MID-COAST SPINE & SPORT LLC (NPI 1851953475) is a healthcare organization registered as a chiropractor in Boothbay Harbor, Maine and active in the NPI registry since July 2019. The organization lists Brady R Fergola, Owner, as its authorized official.

NPPES Registry Identity

NPI1851953475
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMID-COAST SPINE & SPORT LLC
Location Address18 WEST STBoothbay Harbor, ME 04538-1849
Mailing Address14 Marden RdBoothbay Harbor, ME 04538 · (207) 357-4541
Phone(207) 357-4541
Organization SubpartNo
Authorized OfficialBrady R FergolaOwner · (207) 357-4541
Enumeration DateJuly 3, 2019
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1851953475 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.
18 WEST ST, Boothbay Harbor, ME 04538
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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

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.

MS. SUSAN EILEEN WEBSTER LMT
Massage Therapist
18 WEST ST
BOOTHBAY HARBOR, ME 04538
Lincoln County (207) 633-5500
MR. SEAN COLBY L.M.T.
Massage Therapist
18 WEST ST
BOOTHBAY HARBOR, ME 04538
Lincoln County (207) 633-5500
MRS. PAMELA J WILEY LMT
Massage Therapist
18 WEST ST
BOOTHBAY HARBOR, ME 04538
Lincoln County (207) 633-5500
THE BOOTHBAY CHIROPRACTOR
Chiropractor
18 WEST ST
BOOTHBAY HARBOR, ME 04538
Lincoln County (207) 633-5500
BRADY ROBERT FERGOLA DC
Chiropractor
18 WEST ST
BOOTHBAY HARBOR, ME 04538
Lincoln County (207) 633-5500

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 LLC's NPI number?

The NPI number for Mid-Coast Spine & Sport LLC is 1851953475. It was assigned to this organization in the NPPES registry on July 3, 2019.

Where is Mid-Coast Spine & Sport LLC located?

Mid-Coast Spine & Sport LLC is located at 18 West St, Boothbay Harbor, ME 04538. The listed phone number is (207) 357-4541.

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

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

When was this NPI record last updated?

The NPPES record for Mid-Coast Spine & Sport LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.