BISHOP MEDICAL GROUP LLC – NPI #1487256186
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

BISHOP MEDICAL GROUP LLC is a psychiatry & neurologist located in PORTLAND, ME. NPPES has assigned the NPI number 1487256186 to BISHOP MEDICAL GROUP LLC on November 09, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 2 years ago on Jun 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BISHOP MEDICAL GROUP LLC below.

NPI Profile for
BISHOP MEDICAL GROUP LLC

NPI Number
1487256186
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BISHOP MEDICAL GROUP LLC
Primary location
1250 FOREST AVE STE 201
PORTLAND, ME 04103-6403
Phone: (207) 671-3047 Fax:
1 Other location(s):
100 Gannett Dr
South Portland, ME 04106-5900
Phone: (207) 910-6580
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN BURO
MANAGER
Phone: (207) 910-6580
Updated
Certification Date
Jun 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.