Provider Demographics
NPI:1578965521
Name:BRIAN E KAUFMAN, DO, LLC
Entity Type:Organization
Organization Name:BRIAN E KAUFMAN, DO, LLC
Other - Org Name:TOTAL HEALTH AND SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-216-9821
Mailing Address - Street 1:952 POST RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-4149
Mailing Address - Country:US
Mailing Address - Phone:207-216-9821
Mailing Address - Fax:207-219-1363
Practice Address - Street 1:952 POST RD
Practice Address - Street 2:SUITE 8
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4149
Practice Address - Country:US
Practice Address - Phone:207-216-9821
Practice Address - Fax:207-219-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1984208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty