Verne L Backus, M.D., M.P.H.
Individual provider Active NPI Specialist · Swanton, VT
NPI 1013014489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013014489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 042-0009809 (VT)
- Practice address
- 260 Crest Rd, Ste 101
Swanton, VT 05488 - Phone
- (802) 524-1223
- Fax
- (802) 524-1095
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009809 | VT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 042-0009809 | VT | Yes |
Addresses
Primary practice location
260 Crest Rd, Ste 101
Swanton, VT 05488
Mailing address
260 Crest Rd, Ste 101
Swanton, VT 05488
Phone (802) 524-1223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39665 | Other | VT | BLUE CROSS PROVIDER NUMBE |
| 5734535 | Other | VT | CIGNA PROVIDER NUMBER |
| 740518 | Other | VT | MVP PROVIDER NUMBER |
Other providers in Swanton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.