IndividualActive
Brendan Clancy, PA-C
NPI 1194134783 · Surgical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1194134783
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2842 (ME)
Practice location
818 Congress St
Portland, ME 04102-3112
Phone: (207) 773-8161
Fax: (207) 773-1489
Mailing address
818 Congress St
Portland, ME 04102-3112
Registry dates
- Enumerated
- 2014-08-07
- Last updated
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.