Individual provider · Type 1 NPI

Brenda A. Cooney, PA-C

Surgical Physician Assistant · Portland, ME

NPI number 1215184080 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Call (207) 773-8161 Map

Fax (207) 773-1489

Other practice locations

  • 300 Longwood Ave, Children's Hospital Boston Bader 273, Boston, MA 02115 · (617) 355-7930

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA3163 (ME)
Physician Assistant 363A00000XPA3163 (ME)
Physician Assistant 363A00000X1616 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1215184080

Brenda A. Cooney, PA-C's National Provider Identifier is 1215184080, issued on Aug 25, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Oct 22, 2026.