Provider Demographics
NPI:1831296748
Name:RANKIN, BRETT S (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:S
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WALKER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1727
Mailing Address - Country:US
Mailing Address - Phone:207-475-0100
Mailing Address - Fax:207-351-3524
Practice Address - Street 1:35 WALKER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1727
Practice Address - Country:US
Practice Address - Phone:207-475-0100
Practice Address - Fax:207-351-3524
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11115207Y00000X
MEMD15457207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4093OtherHARVARD PILGRIM
000000027196OtherBMC HEALTHNET
8494087OtherCIGNA (ALL STATES BUT NH)
824187OtherMARTINS POINT
NH30212278Medicaid
363896OtherTUFTS HEALTH PLAN
5896752OtherAETNA
NHM2040700OtherCIGNA
NH01Y002747ME01OtherANTHEM
104892900OtherU.S. DEPT. OF LABOR-OWCP
ME042172OtherANTHEM
ME172160000Medicaid
G79911Medicare ID - Type Unspecified
NH30212278Medicaid