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

Scott E. Fredericks, MD

Individual provider Diagnostic Radiology Physician · NPI 1578530069

Scott E. Fredericks, MD is a Diagnostic Radiology in Portland, Maine. Qualified in 2000, 26 years ago. Practices with Spectrum Healthcare Partners PA, a 298-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
26
Licensed in
ME
In the registry since
2006
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

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2571
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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 MD17167 (ME)

Record details

NPI number1578530069
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESNovember 3, 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 schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Spectrum Healthcare Partners Pa — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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