Brooke Blicher, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

016.0049567 Issued in VT

Practice address

205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400

Phone

(802) 295-7522

NPI assigned

Feb 11, 2008

Last updated

Feb 14, 2014By the provider in NPPES

Sex

Female

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment NPD
• Upper Valley Endodontics

  • Endodontics
  • White River Junction, VT
  • NPI 1457638892
  NPD (past) Authorized official
• John D. Dresser, DMD, PC

  • Endodontics
  • White River Junction, VT
  • NPI 1619994662
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1184892309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 6A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 6A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICHER",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN21894",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "016.0049567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy B Birge, MSW, LICSW
• Laura Bitterman
• Carol Lee Blackwood, MD
• Eric Barnes Bland, MD
• Alicia Blazer, PHARMD
• Jill I Blumberg, M.D.
• Sarah F Bohnson, LCSW
• Nori H Bokum, M.A.
• Sarah Elyse Bolander, OTR/L
• Mary Claire Bombard, M.A.

• Endodontics in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Endodontics in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.