Active NPIOrganization

Beverly J. Roseberry, MD, PC

Family Medicine in Rutland, Vermont

NPI Number1265692453
Practice location
11 Commons St, Rutland, VT 05701-4652
Fax
802-779-0123
Last updated
October 9, 2009

Beverly J. Roseberry, MD, PC is a healthcare organization based in Rutland, VT. Beverly J. Roseberry, MD, PC practices in Rutland, VT. The NPI Number for Beverly J. Roseberry, MD, PC is 1265692453 and holds a License No. 042-0011545 (VT). The current practice location address for Beverly J. Roseberry, MD, PC is 11 Commons St, Rutland, VT 05701-4652 and can be reached out via phone at 802-779-0114 and via fax at 802-779-0123.

Provider Profile Details

NPI Number
1265692453
Provider Name
Beverly J. Roseberry, MD, PC
Provider Entity Type
Organization
Address
11 Commons St, Rutland, VT 05701-4652
Phone Number
802-779-0114
Fax Number
802-779-0123
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Mrs. Beverly Jean Roseberry, MD · Owner · 802-779-0114
Provider Enumeration Date
June 11, 2008
Last Update Date
October 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Commons St
Rutland, VT 05701-4652
State
Vermont
Zip
05701-4652
Phone Number
802-779-0114
Fax Number
802-779-0123
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
11 Commons St
Rutland, VT 05701-4652
City
Rutland
State
VT
Zip
05701-4652
Phone Number
802-779-0114
Fax Number
802-779-0123

License Information

License Number
042-0011545
License State
VT
Taxonomy
Family Medicine · 207Q00000X · 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 Beverly J. Roseberry, MD, PC?

The NPI number of Beverly J. Roseberry, MD, PC is 1265692453. It was assigned on June 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Beverly J. Roseberry, MD, PC?

Beverly J. Roseberry, MD, PC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 042-0011545.

Where does Beverly J. Roseberry, MD, PC practice?

The practice location is 11 Commons St, Rutland, VT 05701-4652. The office can be reached at 802-779-0114 (phone) or 802-779-0123 (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 1265692453 directly on the NPPES registry website.

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