NPIMap

Individual provider Active NPI

Jeremy Morrison, D.O.

  • Family Medicine Physician
  • Brattleboro, VT
National Provider Identifier
1154769685
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256686 Issued in MA
Practice address
62 Elliot St
Brattleboro, VT 05301-3208
Phone
(802) 490-1904
Fax
(802) 738-0087
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256686 MA Primary

Addresses

Primary practice location

62 Elliot St
Brattleboro, VT 05301-3208

Mailing address

62 Elliot St
Brattleboro, VT 05301-3208
Phone (802) 490-1904

Other identifiers 1

IdentifierTypeStateIssuer
1027050MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000966 VT Practitioner - Family Practice 5193023950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2021 Accepting new patients
Brattleboro Memorial Hospital Family Medicine CurrentSince Sep 2, 2016 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2021 Accepting new patients
Carlos G. Otis Health Care Center Inc. Current Accepting new patients

Locations

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Carlos G Otis Health Care Center Inc 46 clinicians

Practice addresses (Care Compare)

185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601

PO Box
Suite 216
Townshend, VT 05353

PO Box
Suite 216
Townshend, VT 05353-0216

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Grace Cottage Hospital Hospital, Townshend, VT, CCN 471300
  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1154769685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ELLIOT ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013208",
            "telephone_number": "802-490-1904",
            "fax_number": "802-738-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ELLIOT ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013208",
            "telephone_number": "802-490-1904",
            "fax_number": "802-738-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "256686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027050",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.