Active NPI
Stephen Gorman, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Essex Junction, VT
National Provider Identifier
1063426864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 042.0006480
- Practice address
- 139 Pearl St
Essex Junction, VT 05452-3659 - Phone
- (802) 878-4445
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 22, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042-0006480 | VT | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 042.0006480 | VT | Primary |
Addresses
Primary practice location
139 Pearl St
Essex Junction, VT 05452-3659
Mailing address
PO Box 1517
Williston, VT 05495-1517
Phone (802) 382-8880
Other practice location 1
6 Home Health Cir
Saint Albans, VT 05478-9737
Phone (802) 524-9809
Other practice location 2
812 Exchange St
Middlebury, VT 05753-1555
Phone (802) 382-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005128 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0006480 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Medical Sleep Disorders Center, Inc. | Past | Accepting new patients | |
| All Seasons Physical Therapy Consultants Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Essex JCT, VT
- NPI 1124296447
-
dba Long Trail Physical Therapy
- Physical Therapist
- Burlington, VT
- NPI 1770651523
-
- Sleep Disorder Diagnostic Clinic/Center
- Saint Albans, VT
- NPI 1407109549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1063426864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054951517",
"telephone_number": "802-382-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 PEARL ST",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523659",
"telephone_number": "802-878-4445"
}
],
"practiceLocations": [
{
"address_1": "6 Home Health Cir",
"address_purpose": "LOCATION",
"city": "Saint Albans",
"state": "VT",
"postal_code": "054789737",
"country_code": "US",
"telephone_number": "802-524-9809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "812 Exchange St",
"address_purpose": "LOCATION",
"city": "Middlebury",
"state": "VT",
"postal_code": "057531555",
"country_code": "US",
"telephone_number": "802-382-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042-0006480",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "VT",
"license": "042.0006480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005128",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.