IndividualActive
Shulamith Bonham, MD
NPI 1659568673 · Internal Medicine Physician · Portland, ME
Provider details
- NPI number
- 1659568673
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 49489 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(98/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
180 Park Ave Ste 1
Portland, ME 04102-2927
Phone: (207) 874-2141
Street-level locationGet directions
Mailing address
180 Park Ave
Portland, ME 04102-2957
Additional practice locations (2)
- 111 Franklin Health CmnsFarmington, ME 04938-6144Phone: (207) 778-6031
- 20 Portland StHealthcare for the Homeless/Portland Comm Health CtrPortland, ME 04101-2912Phone: (207) 874-8445Fax: (207) 874-8975
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2025-04-27
- Certified
- 2025-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.