Individual provider Active NPI

Eric R Pofcher, M.D.

  • Internal Medicine Physician
  • Brattleboro, VT
National Provider Identifier
1083654362
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420010294 Issued in VT
Practice address
21 Belmont Ave
Brattleboro, VT 05301
Phone
(802) 258-3905
Fax
(802) 258-4903
NPI assigned
Jun 7, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0420010294 VT Primary

Addresses

Primary practice location

21 Belmont Ave
Brattleboro, VT 05301

Mailing address

600 Blair Park Rd
Suite 190
Williston, VT 05495-7586
Phone (802) 872-4343

Other identifiers 3

IdentifierTypeStateIssuer
00058597OtherVTBLUE CROSS BLUE SHIELD
1008215MedicaidVT
620460OtherVTCIGNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080107000463 VT Practitioner - Internal Medicine 5496835209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420010294VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - New York LLP PastSince Jul 2, 2023 Accepting new patients
Primary Care Health Partners PastSince Dec 6, 2022 Accepting new patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1083654362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD",
            "address_2": "SUITE 190",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-872-4343",
            "fax_number": "802-872-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-258-3905",
            "fax_number": "802-258-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFCHER",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420010294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00058597",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008215",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "620460",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.