Healthcare Provider Details

I. General information

NPI: 1730159617
Provider Name (Legal Business Name): BEDARD MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/07/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 MINOT AVE STE A
AUBURN ME
04210-3303
US

IV. Provider business mailing address

359 MINOT AVENUE SUITE A
AUBURN ME
04210-4329
US

V. Phone/Fax

Practice location:
  • Phone: 207-784-3700
  • Fax: 207-784-7992
Mailing address:
  • Phone: 207-784-3700
  • Fax: 207-784-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1056216
License Number StateME

VIII. Authorized Official

Name: MR. BENJAMIN NADEAU
Title or Position: CEO/OWNER
Credential:
Phone: 207-440-2223