OrganizationActive
Maine Functional Medicine
NPI 1427512904 · Family Medicine Physician · Bangor, ME
Maine Functional Medicine is a Family Medicine Physician organization in Bangor, ME (NPI 1427512904).
Provider details
- NPI number
- 1427512904
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Drake, Office Manager(207) 941-0080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Penn Plz Ste a
Bangor, ME 04401-3619
Phone: (207) 941-0080
Fax: (207) 941-0093
Street-level locationGet directions
Mailing address
33 Penn Plz Ste a
Bangor, ME 04401-3619
Registry dates
- Enumerated
- 2019-01-29
- Last updated
- 2019-01-29
Frequently asked questions
- What is Maine Functional Medicine's NPI number?
- Maine Functional Medicine's National Provider Identifier (NPI) is 1427512904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maine Functional Medicine?
- Maine Functional Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Maine Functional Medicine located?
- Maine Functional Medicine's practice location on file with NPPES is 33 Penn Plz Ste a, Bangor, ME 04401-3619.
- What is Maine Functional Medicine's phone number?
- The practice phone number listed in the NPPES registry for Maine Functional Medicine is (207) 941-0080.
- Who is the authorized official for Maine Functional Medicine?
- The authorized official listed on Maine Functional Medicine's NPPES record is Kelly Drake, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maine Functional Medicine's NPI active?
- Yes — Maine Functional Medicine's NPI (1427512904) is active in the NPPES registry as of the last update on 2019-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.