Unknown Individual – Neurology Physician, NPI 1013939461

Unknown Individual is a healthcare provider. based in Bangor, Maine. specializing in Neurology Physician. They hold a License No. 007236 (ME). The NPI Number for Unknown Individual is 1013939461

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013939461
Phone
(207) 947-0558
Address
498 ESSEX ST
Deactivation Date
30 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 498, Essex Street, Chapin Park (Tree Streets), Bangor, Penobscot County, Maine, 04401, United States

    SUITE 105

    BANGOR, ME 044013990

    Phone: (207) 947-0558

    Fax: (207) 947-0344

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1013939461?
NPI 1013939461 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Maine is Unknown Individual registered?
Use Bangor, Maine as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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