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

Individual provider Diagnostic Radiology Physician · NPI 1629299003

Edward P. Nicholas, MD is a Diagnostic Radiology in Bangor, Maine. Graduated from Rutgers New Jersey Medical School in 2006, 20 years ago. Practices with Spectrum Healthcare Partners PA, a 298-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
20
Trained at
Rutgers New Jersey Medical School
Licensed in
ME
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

489 State St
Bangor, ME 04401-6616
Phone: (207) 973-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD19238 (ME)

Record details

NPI number1629299003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESNovember 2, 2015
Mailing address324 Gannett Dr Ste 200, South Portland, ME 04106-3266

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2006 (20 years in practice)
Group practice Spectrum Healthcare Partners Pa — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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