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

Dr. Brian Randall Ewy, DO

Individual provider Diagnostic Radiology Physician · NPI 1205878857

Dr. Brian Randall Ewy, DO is a Diagnostic Radiology in Kennebunk, Maine. Graduated from University of New England, College of Osteo Medicine in 1999, 27 years ago. Practices with St Lawrence Radiology Assoc PC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Maine, Pennsylvania and Tennessee.

Years since qualifying
27
Trained at
University of New England, College of Osteo Medicine
Licensed in
FL, ME, PA, TN
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21 Rivers Edge Dr
Kennebunk, ME 04043-7739
Phone: (207) 967-2745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 46 Fairview Ave, Skowhegan, ME 04976-1481 — (207) 474-2384

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1835 (ME)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OS9950 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 58575 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OS015362 (PA)

Record details

NPI number1205878857
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing addressPo Box 468, Skowhegan, ME 04976-0468

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 1999 (27 years in practice)
Group practice St Lawrence Radiology Assoc Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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