Jeffrey S Wulfman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042 0009739 Issued in VT

Practice address

74 Munsill Ave
Suite 100
Bristol, VT 05443-1032

Phone

(802) 453-5028

Fax

(802) 453-6105

NPI assigned

Oct 18, 2005

Last updated

Sep 25, 2013By 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Federally Qualified Health Center (FQHC)
  • Bristol, VT
  • NPI 1871840843

  Family Medicine

  Medicare reassignment NPD
• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Dentist
  • Bristol, VT
  • NPI 1013562636
  NPD
• Porter Hospital Inc

  dba Porter Hospital Inc dba Neshobe Family Medicine

  • Family Medicine Physician
  • Brandon, VT
  • NPI 1609896935
  NPD (past)
• Porter Hospital Inc

  • Anesthesiology Physician
  • Middlebury, VT
  • NPI 1871689604
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1063401537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MUNSILL AVE",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431032",
            "telephone_number": "802-453-5028",
            "fax_number": "802-453-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MUNSILL AVE",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431032",
            "telephone_number": "802-453-5028",
            "fax_number": "802-453-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFMAN",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042 0009739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1864",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #18043)
• Marc Richard Werner-Gavrin
• Lindsay Erin White, NP
• Jennifer R Wisdom-Behounek, MD
• Natasha Alexa Withers, D.O.

• Family Medicine Physician in Bristol, VT
• Providers in Bristol, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.

Verify at the official NPI Registry.