IndividualActive
Bruce Brokaw, P.A.-C.
NPI 1316159072 · Medical Physician Assistant · Wells, ME
Provider details
- NPI number
- 1316159072
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Male
- Sole proprietor
- No
- License
- 0170 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 Captain Thomas Road
Wells, ME 04090-7552
Phone: (603) 740-3293
Approximate (ZIP-level) locationGet directions
Mailing address
400 Captain Thomas Rd
Maine, ME 04090
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.