1184689747 NPI number — BRENDAN N BUCKLEY MD

Table of content: BRENDAN N BUCKLEY MD (NPI 1184689747)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184689747 NPI number — BRENDAN N BUCKLEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCKLEY
Provider First Name:
BRENDAN
Provider Middle Name:
N
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184689747
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
165 SHERMAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST JOHNSBURY
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05819-9811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-748-9405
Provider Business Mailing Address Fax Number:
802-748-4540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 SLAPP HILL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARDWICK
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05843-0535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-472-3300
Provider Business Practice Location Address Fax Number:
802-472-8277
Provider Enumeration Date:
04/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  0420007294 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0002524 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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