Edward F. Elliott Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0420008401 Issued in VT

Practice address

17 Belmont Ave
Brattleboro, VT 05301-6613

Phone

(802) 257-8820

Fax

(802) 257-8849

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

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

• Windham Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Brattleboro, VT
  • NPI 1285774307
  Authorized official Same address or phone
• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708
  NPD (past)
• New Castle Radiology, P.C.

  • Diagnostic Radiology Physician
  • New Castle, IN
  • NPI 1992832711
  NPD (past)
• Northside Radiology Consultants Inc

  • Diagnostic Radiology Physician
  • Anderson, IN
  • NPI 1376568956
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013953793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HIGH ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016074",
            "telephone_number": "802-257-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8820",
            "fax_number": "802-257-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "EDWARD",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01029450",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "0420008401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01029450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Ehrenberg, LCMHC
• Nicole Ekenstierna
• Eric William El Masri, DMD
• Thea Elijah, L. AC.
• Elizabeth a. McLarney, M.D., P.C.
• Kathy A. Elliott, APRN-BC
• Amy Michelle Emery
• Emma Gardner Counseling, LLC
• Julie A Emond
• Empowered Physical Therapy LLC

• Diagnostic Radiology Physician in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Diagnostic Radiology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.