Brookside Pediatrics & Adolescent Medicine Pllc
Pediatrics
Brookside Pediatrics & Adolescent Medicine Pllc is a Bennington, Vermont based Pediatric center with medical specialization in
General Pediatrics.
It is located at
194 North Street, Bennington, Vermont - 05201. They can be contacted on phone at
802-442-2264 and fax number 802-442-2337.
NPI number (Unique professional ID) for Brookside Pediatrics & Adolescent Medicine Pllc is
1568578656 which was assigned by NPPES on 22 Aug, 2006 and it was last updated on 04 Oct, 2011.
Brookside Pediatrics & Adolescent Medicine Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Brookside Pediatrics & Adolescent Medicine Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Brookside Pediatrics & Adolescent Medicine Pllc |
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Business Address:
Brookside Pediatrics & Adolescent Medicine Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 194 North Street
Bennington, VT, 05201
United States |
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| Phone Number : | 802-442-2264 |
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| Fax Number : | 802-442-2337 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1568578656 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 22 Aug, 2006 |
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| Last Updated On : | 04 Oct, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Theodorel Johnson |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 802-442-2264 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brookside Pediatrics & Adolescent Medicine Pllc are as mentioned. Primary taxonomy code for Brookside Pediatrics & Adolescent Medicine Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Brookside Pediatrics & Adolescent Medicine Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1007123 | MEDICAID | VT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 194 North Street
Bennington, VT, 05201
United States |
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| Phone Number : | 802-442-2264 |
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| Fax Number : | 802-442-2337 |
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Business Location:
Patients can refer following map for directions to
Brookside Pediatrics & Adolescent Medicine Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.