Bruce Brokaw, PA-C is a
Physician Assistant - Medical based in Wells, Maine. Bruce Brokaw is licensed to practice in New Hampshire (license number 0170) and his current practice location is
400 Captain Thomas Road, Wells, Maine. He can be reached at his office (for appointments etc.) via phone at
(603) 740-3293.
NPI number for Bruce Brokaw is 1316159072 and his current mailing address is 400 Captain Thomas Rd, Wells, Maine, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316159072.
Provider's Profile
Full Name | Bruce Brokaw |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 400 Captain Thomas Road, Wells, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316159072
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bruce Brokaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316159072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 0170 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Brokaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bruce Brokaw, PA-C 400 Captain Thomas Rd, Wells, Maine, ME 04090 Ph: (603) 740-3293 | Bruce Brokaw, PA-C 400 Captain Thomas Road, Wells, ME 04090-7552 Ph: (603) 740-3293 |
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