MR. BRUCE G MANLEY (PA-C) – Physician Assistant, NPI 1124114525

MR. BRUCE G MANLEY (PA-C) is a healthcare provider. based in Portland, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-599 (ME). The NPI Number for MR. BRUCE G MANLEY (PA-C) is 1124114525

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE G MANLEY (PA-C)
NPI
1124114525
Phone
(207) 662-7010
Address
22 BRAMHALL ST
Enumeration Date
4 October 2006
Last Update Date
11 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077843573
Graduation Year
1998 (28 years ago)
PAC ID
6709046311
Group Practice PAC ID
7810229259
Professional Enrollment ID
I20120319000649
Address ID
ME042104332AU440XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

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Provider Addresses for MR. BRUCE G MANLEY (PA-C)

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023134

    Phone: (207) 662-7010

    Fax: (207) 662-8133

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120319000649IPhysician AssistantMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes626173$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes357114$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes35489$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11574$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2824$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810229259View full group profile
NameSpecialtyState
Family PracticeME
Family PracticeME
Family PracticeNY
Internal MedicineVA
Physician AssistantME
Emergency MedicineME
Physician AssistantME
Family Practice, Hospice/Palliative CareME
Internal MedicineME

Reviews

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Frequently asked questions

What is the standard ID for MR. BRUCE G MANLEY (PA-C) in the U.S.?
In the U.S., MR. BRUCE G MANLEY (PA-C) is identified by NPI 1124114525.
Is MR. BRUCE G MANLEY (PA-C)'s NPI status active today?
Active status means MR. BRUCE G MANLEY (PA-C)'s NPI record is not deactivated in the public file.
What services align with MR. BRUCE G MANLEY (PA-C)'s listing?
MR. BRUCE G MANLEY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. BRUCE G MANLEY (PA-C) tied to Portland, Maine?
If you are local to Portland, Maine, MR. BRUCE G MANLEY (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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