Toller Wilson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17389 Issued in NH

Practice address

21 Belmont Ave
Brattleboro Internal Medicine
Brattleboro, VT 05301-1719

Phone

(802) 251-8787

NPI assigned

Apr 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Brattleboro Memorial HospitalGroup PAC ID 9335112929, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

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

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.

• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Recover Together, LLC

  • Adult Mental Health Clinic/Center
  • Lawrenceburg, IN
  • NPI 1891102497

  Internal Medicine, NH

  Medicare reassignment Care Compare group NPD
• Recover Together, Inc.

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Internal Medicine

  NPD

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • White River Junction, VT
  • NPI 1063963148
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Williston, VT
  • NPI 1114229937
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Rutland, VT
  • NPI 1861794687
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Brattleboro, VT
  • NPI 1891097614
  Care Compare affiliation
• Brattleboro Memorial Hospital

  • General Acute Care Hospital
  • Brattleboro, VT
  • NPI 1306849708
  Care Compare affiliation

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1174880165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "address_2": "BRATTLEBORO INTERNAL MEDICINE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053011719",
            "telephone_number": "802-251-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BELMONT AVE",
            "address_2": "BRATTLEBORO INTERNAL MEDICINE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053011719",
            "telephone_number": "802-251-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TOLLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NH",
            "license": "17389",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "17389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Wilk, CS, APRN
• Elizabeth Wilkens-McKee
• Michael Wilkes, DMD
• William Vranos M.D., Orhtopedics P.C.
• Martha Ann Wilmot
• Windham County Dental Center Inc
• Windham OB-GYN Associates, P.C.
• Windham Radiology Associates Inc
• Windham Southeast Supervisory Union
• Windham Wellness

• Internal Medicine Physician in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.