Dr. Spencer L Blackman, MD
Family Medicine in Burlington, Vermont
1205914884- Practice location
- 462 Shelburne RD Ste 102, Burlington, VT 05401-6947
- Phone
- 802-227-4417
- Fax
- 802-227-6897
- Last updated
- August 18, 2026
Spencer L. Blackman is a Family Medicine based in Burlington, VT. Spencer L. Blackman practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Spencer L. Blackman is 1205914884 and holds a License No. V4643 (TX). The current practice location address for Spencer L. Blackman is 462 Shelburne RD Ste 102, Burlington, VT 05401-6947 and can be reached out via phone at 802-227-4417 and via fax at 802-227-6897.
Provider Profile Details
- NPI Number
- 1205914884
- Provider Name
- Spencer L. Blackman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 462 Shelburne RD Ste 102, Burlington, VT 05401-6947
- Phone Number
- 802-227-4417
- Fax Number
- 802-227-6897
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- August 18, 2026
- Certification Date
- August 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 462 Shelburne RD Ste 102
Burlington, VT 05401-6947 - City
- Burlington
- State
- Vermont
- Zip
- 05401-6947
- Phone Number
- 802-227-4417
- Fax Number
- 802-227-6897
Provider Business Mailing Address Details
- Address
- 462 Shelburne RD Ste 102
Burlington, VT 05401-6947 - City
- Burlington
- State
- VT
- Zip
- 05401-6947
- Phone Number
- 802-227-4417
- Fax Number
- 802-227-6897
License Information
- License Number (1)
- V4643
- License State (1)
- TX
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 84995
- License State (2)
- GA
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 2020-04415
- License State (3)
- NC
- Taxonomy (3)
- Family Medicine · 207Q00000X
- License Number (4)
- 296496
- License State (4)
- NY
- Taxonomy (4)
- Family Medicine · 207Q00000X
- License Number (5)
- 254843
- License State (5)
- MA
- Taxonomy (5)
- Family Medicine · 207Q00000X
- License Number (6)
- 042.0013274
- License State (6)
- VT
- Taxonomy (6)
- Family Medicine · 207Q00000X · Primary
- License Number (7)
- ME43528
- License State (7)
- FL
- Taxonomy (7)
- Family Medicine · 207Q00000X
- License Number (8)
- a88542
- License State (8)
- CA
- Taxonomy (8)
- Family Medicine · 207Q00000X
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 Dr. Spencer L Blackman, MD?
The NPI number of Dr. Spencer L Blackman, MD is 1205914884. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Spencer L Blackman, MD?
Dr. Spencer L Blackman, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in TX under license number V4643.
Where does Dr. Spencer L Blackman, MD practice?
The practice location is 462 Shelburne RD Ste 102, Burlington, VT 05401-6947. The office can be reached at 802-227-4417 (phone) or 802-227-6897 (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 1205914884 directly on the NPPES registry website.