Active NPI
Joseph Charles Pelletier, MD
- Pediatrics Physician
- Brunswick, ME
National Provider Identifier
1003828419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD29779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009801 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29779 | ME | MD | Pediatrics Physician |
| 0420010598 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifford Health Care, Inc | Current | Accepting new patients | |
| Gifford Medical Center Inc. | Current | Accepting new patients | |
| Gifford Health Care, Inc | Current | Accepting new patients | |
| Gifford Medical Center Inc | Current | 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
- 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.
-
- General Practice Physician
- Randolph, VT
- NPI 1013269430
-
- General Acute Care Hospital
- Randolph, VT
- NPI 1942329446
-
- Federally Qualified Health Center (FQHC)
- Randolph, VT
- NPI 1831782929
-
- Medicare Defined Swing Bed Hospital Unit
- Randolph, VT
- NPI 1013928068
-
- Federally Qualified Health Center (FQHC)
- Bethel, VT
- NPI 1659701571
-
- Critical Access Hospital
- Randolph, VT
- NPI 1730199647
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.