- Practice location
- 69 Allen St Ste 7&10, Rutland, VT 05701-4564
- Phone
- 802-774-5050
- Fax
- —
- Last updated
- June 8, 2026
Bradley Deboer is a General Practice based in Rutland, VT. Bradley Deboer practices in Rutland, VT. The NPI Number for Bradley Deboer is 1013840081 and holds a License No. 016.0134441 (VT). The current practice location address for Bradley Deboer is 69 Allen St Ste 7&10, Rutland, VT 05701-4564 and can be reached out via phone at 802-774-5050.
Provider Profile Details
- NPI Number
- 1013840081
- Provider Name
- Bradley Deboer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Allen St Ste 7&10, Rutland, VT 05701-4564
- Phone Number
- 802-774-5050
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2026
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Allen St Ste 7&10
Rutland, VT 05701-4564 - City
- Rutland
- State
- Vermont
- Zip
- 05701-4564
- Phone Number
- 802-774-5050
Provider Business Mailing Address Details
- Address
- 69 Allen St Ste 7&10
Rutland, VT 05701-4564 - City
- Rutland
- State
- VT
- Zip
- 05701-4564
License Information
- License Number
- 016.0134441
- License State
- VT
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bradley Deboer?
The NPI number of Bradley Deboer is 1013840081. It was assigned on June 8, 2026 and is currently active in the NPPES registry.
What is the specialty of Bradley Deboer?
Bradley Deboer is registered under the primary taxonomy General Practice (code 208D00000X), licensed in VT under license number 016.0134441.
Where does Bradley Deboer practice?
The practice location is 69 Allen St Ste 7&10, Rutland, VT 05701-4564. The office can be reached at 802-774-5050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013840081 directly on the NPPES registry website.