Active NPIIndividual provider

Robert A Pezzulich, MD

Surgery in Bennington, Vermont

NPI Number1114923422
Practice location
345 Elm St, Bennington, VT 05201-2265
Fax
802-447-3858
Last updated
July 13, 2026

Robert Anthony Pezzulich is a Surgery based in Bennington, VT. Robert Anthony Pezzulich practices in Bennington, VT and has the professional credentials of MD. The NPI Number for Robert Anthony Pezzulich is 1114923422 and holds a License No. 042-0004872 (VT). The current practice location address for Robert Anthony Pezzulich is 345 Elm St, Bennington, VT 05201-2265 and can be reached out via phone at 802-447-7591 and via fax at 802-447-3858.

Provider Profile Details

NPI Number
1114923422
Provider Name
Robert Anthony Pezzulich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
345 Elm St, Bennington, VT 05201-2265
Phone Number
802-447-7591
Fax Number
802-447-3858
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Elm St
Bennington, VT 05201-2265
State
Vermont
Zip
05201-2265
Phone Number
802-447-7591
Fax Number
802-447-3858
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
88 Meadow Brook Dr
Bennington, VT 05201-9263
City
Bennington
State
VT
Zip
05201-9263
Phone Number
802-447-7203

License Information

License Number
042-0004872
License State
VT
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Robert A Pezzulich, MD?

The NPI number of Robert A Pezzulich, MD is 1114923422. It was assigned on June 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Robert A Pezzulich, MD?

Robert A Pezzulich, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in VT under license number 042-0004872.

Where does Robert A Pezzulich, MD practice?

The practice location is 345 Elm St, Bennington, VT 05201-2265. The office can be reached at 802-447-7591 (phone) or 802-447-3858 (fax).

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 1114923422 directly on the NPPES registry website.

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