OrganizationActive
Casco Bay Direct Primary Care
NPI 1679251946 · Internal Medicine Physician · South Portland, ME
Provider details
- NPI number
- 1679251946
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Beall, Physician/Owner(207) 407-5027
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Brickhill Ave
South Portland, ME 04106-1999
Phone: (207) 407-5027
Approximate (ZIP-level) locationGet directions
Mailing address
80 Old Field Rd
Yarmouth, ME 04096-7570
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.