Individual provider Active NPI

Travis Lawton Redman, PA

  • Orthopaedic Surgery Physician
  • S Burlington, VT
National Provider Identifier
1104279090
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
055.0031314 Issued in VT
Practice address
192 Tilley Dr.
Uvm Medical Center, Ortho/Upper Extremity
S. Burlington, VT 05401
Phone
(802) 847-4690
Fax
(802) 847-4406
NPI assigned
Jul 15, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 055.0031314 VT Primary

Addresses

Primary practice location

192 Tilley Dr.
Uvm Medical Center, Ortho/Upper Extremity
S. Burlington, VT 05401

Mailing address

192 Tilley Dr.
Uvm Medical Center, Ortho/Upper Extremity
S. Burlington, VT 05401
Phone (802) 847-4690

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000153 VT Practitioner - Physician Assistant 9436437928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

192 Tilley Dr
Orthopeadic
S Burlington, VT 05403-4440
Phone (802) 847-4690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055.0031314VTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Oct 1, 2016 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663

Interoperability endpoints

  • Direct secure messaging: tredman141522@direct.uvmhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1104279090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TILLEY DR.",
            "address_2": "UVM MEDICAL CENTER, ORTHO/UPPER EXTREMITY",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-4690",
            "fax_number": "802-847-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TILLEY DR.",
            "address_2": "UVM MEDICAL CENTER, ORTHO/UPPER EXTREMITY",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-4690",
            "fax_number": "802-847-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMAN",
        "first_name": "TRAVIS",
        "middle_name": "LAWTON",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "055.0031314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Burlington, VT

Sources for this page

Verify at the official NPI Registry.