Ezra Demers
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Berlin, VT
NPI 1033075601 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1033075601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 097.0136421 (VT)
- Practice address
- 174 Hospital Loop
Berlin, VT 05602-9105 - Phone
- (802) 479-4083
- Fax
- (802) 476-1476
- NPI assigned
- Dec 29, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 097.0136421 | VT | Yes |
Addresses
Primary practice location
174 Hospital Loop
Berlin, VT 05602-9105
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 479-4083
Other providers in Berlin, VT
- Peter Allen Dale
- Jedidiah P. Danforth
- Robert R Davidson
- Juliet Davis
- Rey L. Dean
- Whitney Deming
- Elizabeth M. Diamond
- Kirsten Didrikson
- John Andrew Dreslin
- Patricia Ann Driscoll
All providers in Berlin, VT · Student in an Organized Health Care Education/Training Program in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. 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.