Brookside Pediatrics & Adolescent Medicine PLLC
Pediatrics in Bennington, Vermont
1568578656- Practice location
- 194 North Street, Bennington, VT 05201
- Phone
- 802-442-2264
- Fax
- 802-442-2337
- Last updated
- October 4, 2011
Brookside Pediatrics & Adolescent Medicine PLLC is a healthcare organization based in Bennington, VT. Brookside Pediatrics & Adolescent Medicine PLLC practices in Bennington, VT. The NPI Number for Brookside Pediatrics & Adolescent Medicine PLLC is 1568578656. The current practice location address for Brookside Pediatrics & Adolescent Medicine PLLC is 194 North Street, Bennington, VT 05201 and can be reached out via phone at 802-442-2264 and via fax at 802-442-2337.
Provider Profile Details
- NPI Number
- 1568578656
- Provider Name
- Brookside Pediatrics & Adolescent Medicine PLLC
- Provider Entity Type
- Organization
- Address
- 194 North Street, Bennington, VT 05201
- Phone Number
- 802-442-2264
- Fax Number
- 802-442-2337
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Theodore L Johnson, MD · Owner · 802-442-2264
- Provider Enumeration Date
- August 22, 2006
- Last Update Date
- October 4, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 194 North Street
Bennington, VT 05201 - City
- Bennington
- State
- Vermont
- Zip
- 05201
- Phone Number
- 802-442-2264
- Fax Number
- 802-442-2337
Provider Business Mailing Address Details
- Address
- 194 North Street
Bennington, VT 05201 - City
- Bennington
- State
- VT
- Zip
- 05201
- Phone Number
- 802-442-2264
- Fax Number
- 802-442-2337
License Information
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Bennington, VT
View all Pediatrics providers in Bennington →- Catherine P Lyndaker, MDPediatrics · NPI 1518617935
- Green Mountain Pediatrics PCPediatrics · NPI 1073617783
- Jaclyn D Lozier, MDPediatrics · NPI 1083008270
- Judy K Orton, MDPediatrics · NPI 1346309473
- Martin R Luloff, MDPediatrics · NPI 1093749756
- Southwestern Vermont Medical Center INC.Pediatrics · NPI 1780832378
Frequently Asked Questions
What is the NPI number of Brookside Pediatrics & Adolescent Medicine PLLC?
The NPI number of Brookside Pediatrics & Adolescent Medicine PLLC is 1568578656. It was assigned on August 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Brookside Pediatrics & Adolescent Medicine PLLC?
Brookside Pediatrics & Adolescent Medicine PLLC is registered under the primary taxonomy Pediatrics (code 208000000X).
Where does Brookside Pediatrics & Adolescent Medicine PLLC practice?
The practice location is 194 North Street, Bennington, VT 05201. The office can be reached at 802-442-2264 (phone) or 802-442-2337 (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 1568578656 directly on the NPPES registry website.