MEDICARE: ANDROSCOGGIN OSTEOPATHIC, LLC,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	DO2336	ME

General Provider Information

NPI Number	:	1144638412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDROSCOGGIN OSTEOPATHIC, LLC,

Provider Business Mailing Address
First Line	:	95 PARK ST
Second Line	:	SUITE 519
City	:	LEWISTON
State	:	ME
Zip	:	04240-7282
Country	:	US
Telephone Number	:	207-241-0945
Fax Number	:	207-241-0955

Provider Business Practice Location Address
First Line	:	95 PARK ST
Second Line	:	SUITE 519
City	:	LEWISTON
State	:	ME
Zip	:	04240-7282
Country	:	US
Telephone Number	:	207-241-0945
Fax Number	:	207-241-0955

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHEN R BERGMAN
Credential	:	DO
Telephone Number	:	207-241-0945

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	03/20/2015

Similar Medicare Providers

1578422077 — ANCHORPOINT MENTAL HEALTH LLC
Practice Location Address:

95 PARK ST STE 506
LEWISTON, ME
04240-7282

Practice Phone: 207-344-5234
Practice Fax:

1124068077 — DR. TED T STOKES D.C.
Practice Location Address:

95 PARK ST , SUITE 302
LEWISTON, ME
04240-7282

Practice Phone: 207-782-7846
Practice Fax: 207-689-2139

1952611881 — SARA DAWN CAMOLLI LADC
Practice Location Address:

95 PARK ST
LEWISTON, ME
04240-7282

Practice Phone: 207-344-7271
Practice Fax:

1235554627 — MARC MADORE LCSW
Practice Location Address:

95 PARK ST STE 201
LEWISTON, ME
04240-7282

Practice Phone: 207-713-7448
Practice Fax:

1659781748 — ABDIHAMID HASSAN LMSW-CC
Practice Location Address:

95 PARK ST STE 506
LEWISTON, ME
04240-7282

Practice Phone: 207-754-1992
Practice Fax:

1396100541 — CHRISTINE M AUDET LCSW
Practice Location Address:

95 PARK ST STE 201
LEWISTON, ME
04240-7282

Practice Phone: 207-240-2239
Practice Fax: 207-782-9001

Directions to “ANDROSCOGGIN OSTEOPATHIC, LLC, ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.