Individual provider Active NPI

Joseph Charles Pelletier, MD

  • Pediatrics Physician
  • Brunswick, ME
National Provider Identifier
1003828419
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD29779 Issued in ME
Practice address
81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765
Phone
(207) 721-8333
Fax
(207) 618-5670
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD29779 ME Primary
Pediatrics Physician 208000000X 0420010598 VT

Addresses

Primary practice location

81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765

Mailing address

81 Medical Center Dr Ste 2200
Brunswick, ME 04011-2765
Phone (207) 721-8333

Other practice location 1

193 Main St
Norway, ME 04268-5645
Phone (207) 743-8766

Other practice location 2

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-2420

Other identifiers 1

IdentifierTypeStateIssuer
1009801MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000826 VT Practitioner - Pediatric Medicine 1153517552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29779MEMDPediatrics Physician
0420010598VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Dec 19, 2012 Accepting new patients
Gifford Medical Center Inc. CurrentSince Sep 7, 2010 Accepting new patients
Gifford Health Care, Inc CurrentSince Dec 19, 2012 Accepting new patients
Gifford Medical Center Inc CurrentSince Sep 7, 2010 Accepting new patients
Gifford Medical Center Inc Past Accepting new patients
Gifford Health Care, Inc Past Accepting new patients

Locations

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/gifford-da0922a0

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1003828419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-8333",
            "fax_number": "207-618-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-8333",
            "fax_number": "207-618-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Main St",
            "address_purpose": "LOCATION",
            "city": "Norway",
            "state": "ME",
            "postal_code": "042685645",
            "country_code": "US",
            "telephone_number": "207-743-8766",
            "fax_number": "207-553-8348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 S Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "050601381",
            "country_code": "US",
            "telephone_number": "802-728-2420",
            "fax_number": "802-728-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD29779",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0420010598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009801",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.