Individual provider Active NPI

David M Gorson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bennington, VT
National Provider Identifier
1194773200
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0420008576 Issued in VT
Practice address
140 Hospital Dr
Suite 301
Bennington, VT 05201-5009
Phone
(802) 442-3022
Fax
(802) 442-4874
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0420008576 VT Primary

Addresses

Primary practice location

140 Hospital Dr
Suite 301
Bennington, VT 05201-5009

Mailing address

223 Bee Hill Rd
Williamstown, MA 01267-2705
Phone (413) 458-3299

Other identifiers 3

IdentifierTypeStateIssuer
0VN0411MedicaidVT
28111OtherVTMVP HEALTH PLAN
00018643OtherVTVERMONT BLUE CROSS/BLUE S

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
I20060321000590 VT Practitioner - Endocrinology 8729095484 Practice locations: Bennington, VT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420008576VTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1194773200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BEE HILL RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672705",
            "telephone_number": "413-458-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 301",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-442-3022",
            "fax_number": "802-442-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSON",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VT",
            "license": "0420008576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0411",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "28111",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BLUE CROSS/BLUE S",
            "identifier": "00018643",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.