- Practice location
- 215 Stratton RD, Rutland, VT 05701-4621
- Phone
- 802-775-7745
- Fax
- 802-775-5155
- Last updated
- March 15, 2012
Brad Lee Jimmo is a Surgery based in Rutland, VT. Brad Lee Jimmo practices in Rutland, VT and has the professional credentials of MD. The NPI Number for Brad Lee Jimmo is 1437184637 and holds a License No. 042-0010388 (VT). The current practice location address for Brad Lee Jimmo is 215 Stratton RD, Rutland, VT 05701-4621 and can be reached out via phone at 802-775-7745 and via fax at 802-775-5155.
Provider Profile Details
- NPI Number
- 1437184637
- Provider Name
- Brad Lee Jimmo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 215 Stratton RD, Rutland, VT 05701-4621
- Phone Number
- 802-775-7745
- Fax Number
- 802-775-5155
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 12, 2006
- Last Update Date
- March 15, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 215 Stratton RD
Rutland, VT 05701-4621 - City
- Rutland
- State
- Vermont
- Zip
- 05701-4621
- Phone Number
- 802-775-7745
- Fax Number
- 802-775-5155
Provider Business Mailing Address Details
- Address
- 215 Stratton RD
Rutland, VT 05701-4621 - City
- Rutland
- State
- VT
- Zip
- 05701-4621
- Phone Number
- 802-775-7745
- Fax Number
- 802-775-5155
License Information
- License Number
- 042-0010388
- License State
- VT
- Taxonomy
- Surgery · 208600000X · 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 Brad L Jimmo, MD?
The NPI number of Brad L Jimmo, MD is 1437184637. It was assigned on July 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Brad L Jimmo, MD?
Brad L Jimmo, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in VT under license number 042-0010388.
Where does Brad L Jimmo, MD practice?
The practice location is 215 Stratton RD, Rutland, VT 05701-4621. The office can be reached at 802-775-7745 (phone) or 802-775-5155 (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 1437184637 directly on the NPPES registry website.