Richard Bohling Carozza, MD
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Burlington, VT
NPI 1003479585 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1003479585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- 042.0040413 (VT)
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-4589
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rcarozza133960@direct.bostonchildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | 042.0040413 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
75 Chester St Apt 11
Allston, MA 02134-2314
Phone (978) 501-5906
Other practice location 1
2200 Childrens Way
Nashville, TN 37232-0005
Phone (615) 936-2555
Other providers in Burlington, VT
- Brendan James Carney
- Elizabeth Royden Carney
- Jan Kirk Carney
- Caroline Tassey PLC
- Carolyn Edwards Basiliere LLC
- Ann Carpenter
- Kelsey Carpenter
- Lauren Carpenter
- Rachel Carpenter
- Colleen Carroll
All providers in Burlington, VT · Neurology with Special Qualifications in Child Neurology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.