Provider Demographics
NPI:1205490190
Name:WELLS, ALISON BRAESE (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:BRAESE
Last Name:WELLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:TRAVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:121 MEDICAL CENTER DR STE 3300
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2674
Mailing Address - Country:US
Mailing Address - Phone:207-373-6490
Mailing Address - Fax:207-536-6046
Practice Address - Street 1:121 MEDICAL CENTER DR STE 3300
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2674
Practice Address - Country:US
Practice Address - Phone:207-373-6490
Practice Address - Fax:207-536-6046
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD29384207RC0200X, 207RP1001X
SC87513207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine