BANGOR PLASTIC AND HAND SURGERY, P.A.
NPI 1902987506
Plastic Surgery - Surgery of the Hand in Bangor, ME

Active since October 18, 2006CLIA 20D2290325 · Waiver
885 UNION ST, SUITE 245, BANGOR, ME 04401(207) 947-5657(207) 947-1894 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bangor Plastic And Hand Surgery, P.a. NPPES

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

BANGOR PLASTIC AND HAND SURGERY, P.A. (NPI 1902987506) is a healthcare organization registered as a surgery of the hand in Bangor, Maine and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists David A Branch, President, as its authorized official.

NPPES Registry Identity

NPI1902987506
Entity TypeOrganization
Primary Taxonomy2082S0105X
Legal Business NameBANGOR PLASTIC AND HAND SURGERY, P.A.
Location Address885 UNION ST, SUITE 245Bangor, ME 04401-3083
Mailing Address885 Union St, Suite 245Bangor, ME 04401-3083 · (207) 947-5657 · Fax (207) 947-1894
Fax(207) 947-1894
Organization SubpartNo
Authorized OfficialDavid A BranchPresident · (207) 947-5657
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 3, 2008
✔ NPI 1902987506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
885 UNION ST, Bangor, ME 04401

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bangor Plastic And Hand Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bangor Plastic And Hand Surgery, P.A., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Hand Surgery
NPI 1346337151
55 BROADWAY
Bangor, ME 04401
(207) 947-5657
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1912077504
417 STATE STREET WEBBER WEST SUITE 442
Bangor, ME 04401
(207) 973-5200
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1982398897
15 OLD KELLEY AVE
Orono, ME 04473
(207) 802-7732
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1053864462
4 GLEN COVE DR SUITE 103
Rockport, ME 04856
(207) 921-5737
✔ PECOS✔ Accepts Medicare48 mi
Plastic and Reconstructive Surgery
NPI 1124136908
244 WESTERN AVENUE
South Portland, ME 04106
(207) 775-3446
✔ PECOS✔ Accepts Medicare111 mi
Hand Surgery
NPI 1508817834
1301 MEDICAL CENTER DR
Nashville, TN 37232
(615) 322-5000
✔ PECOS✔ Accepts Medicare1,118 mi

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

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 20D2290325

Bangor Plastic And Hand Surgery · Bangor, ME
Active · expires Sep 24, 2027
CLIA Number20D2290325
Laboratory TypeObs Office- Based Surgery
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDavid Branch
Laboratory Phone(207) 947-5657
Laboratory LocationBangor Plastic And Hand Surgery55 Broadway, Bangor, ME 04401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bangor Plastic And Hand Surgery, P.A.'s NPI number?

The NPI number for Bangor Plastic And Hand Surgery, P.A. is 1902987506. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Bangor Plastic And Hand Surgery, P.A. located?

Bangor Plastic And Hand Surgery, P.A. is located at 885 Union St Suite 245, Bangor, ME 04401. The listed phone number is (207) 947-5657.

What is Bangor Plastic And Hand Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Bangor Plastic And Hand Surgery, P.A. enrolled in Medicare?

Yes. Bangor Plastic And Hand Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bangor Plastic And Hand Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bangor Plastic And Hand Surgery, P.A.. 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. The largest specialties are Nurse Practitioner (3), Hand Surgery (2) and Plastic and Reconstructive Surgery (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bangor Plastic And Hand Surgery, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2290325) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bangor Plastic And Hand Surgery, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield list Bangor Plastic And Hand Surgery, P.A. 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 Bangor Plastic And Hand Surgery, P.A. was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.