Healthcare Provider Details

I. General information

NPI: 1861515330
Provider Name (Legal Business Name): JOHN TAYLOR BIELECKI MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CHASE AVE
WATERVILLE ME
04901-4624
US

IV. Provider business mailing address

39 PINEWOOD DR
BELGRADE ME
04917-3500
US

V. Phone/Fax

Practice location:
  • Phone: 207-872-4260
  • Fax: 207-872-4034
Mailing address:
  • Phone: 207-495-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number11495
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number11495
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: