Individual provider Active NPI

Wendie M Puls, MD

  • Internal Medicine Physician
  • Bristol, VT
National Provider Identifier
1114063948
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420007290 Issued in VT
Practice address
30 Mountain St
Bristol, VT 05443-1310
Phone
(802) 453-5028
Fax
(802) 453-6105
NPI assigned
Jan 29, 2007
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 0420007290 VT Primary

Addresses

Primary practice location

30 Mountain St
Bristol, VT 05443-1310

Mailing address

44 Collins Dr
Suite 201
Middlebury, VT 05753
Phone (802) 388-1500

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
I20040616000146 VT Practitioner - Internal Medicine 9638153786 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420007290VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebury Family Health CurrentSince Jun 1, 2012 Accepting new patients
Mountain Health Center Past Accepting new patients

Locations

1330 Exchange St
Ste 201
Middlebury, VT 05753
Phone (802) 388-1500

44 Collins Dr
Ste 201
Middlebury, VT 05753
Phone (802) 388-1500

Interoperability endpoints

  • Direct secure messaging: wendiep@middleburyfamilyhealth.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1114063948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COLLINS DR",
            "address_2": "SUITE 201",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-1500",
            "fax_number": "802-388-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MOUNTAIN ST",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431310",
            "telephone_number": "802-453-5028",
            "fax_number": "802-453-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULS",
        "first_name": "WENDIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420007290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VT

Sources for this page

Verify at the official NPI Registry.