Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Bothel, PA-C

Individual provider Physician Assistant · NPI 1952892978

Cody Bothel, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2017, 9 years ago. Practices with Mercy Hospital, a 308-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

33 Sewall St
Portland, ME 04102-2603
Phone: (207) 272-2734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1793 (ME)

Record details

NPI number1952892978
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESSeptember 21, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mercy Hospital — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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