CMS-1500 Box 24J / 33a • NPI
1477876670
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0804X (CMS 86)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
1577 CONGRESS ST STE 1, PORTLAND, ME, 04102-2169
✓ 9-Digit EDI 837 ZIP+4 (04102-2169)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477876670 (EDWARD ISAAC BENDER, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477876670 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EDWARD ISAAC BENDER, DO |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084P0804X (Psychiatry & Neurology, Child & Adolescent Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 1577 CONGRESS ST STE 1, PORTLAND, ME, 04102-2169 |
| Practice Telephone / Fax | Tel: (207) 662-1442 | Fax: (207) 775-2467 |
| Administrative Mailing Address | 1577 CONGRESS ST STE 1, PORTLAND, ME, 04102-2169 |
| Enumeration & Last Sync | Enumerated: 2010-03-03 | CMS Record Updated: 2026-05-14 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084P0804X)
What Does Taxonomy Code 2084P0804X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0804X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EDWARD ISAAC BENDER, DO)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0804X — Psychiatry & Neurology, Child & Adolescent PsychiatryPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: ME | License: DO3110 | Primary: Yes (Primary) |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: ME | License: DO3110 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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