Physician Assistant
CODY BOTHEL PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1952892978 · enumerated 2018-05-24 · record updated 2018-09-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 33 SEWALL ST, PORTLAND, ME, 04102-2603 (207) 272-2734 Google Maps Apple Maps OpenStreetMap
- Mailing address 324 GANNETT DR STE 200, SOUTH PORTLAND, ME, 04106-3266 (207) 482-7800 Fax (207) 482-7898 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA1793 ME
In this directory
Locations and evidence
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Practice location
PORTLAND, ME, 041022603
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.