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

Mr. Bruce G Manley, PA-C

Individual provider Physician Assistant · NPI 1124114525

Mr. Bruce G Manley, PA-C is a Physician Assistant in Portland, Maine. Qualified in 1998, 28 years ago. Practices with Maine Medical Consultants PC, a 46-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
28
Licensed in
ME
In the registry since
2006
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

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-7010
Fax: (207) 662-8133
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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 PA-599 (ME)

Record details

NPI number1124114525
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESMay 11, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Maine Medical Consultants Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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