Active NPI
David M Gorson, MD
- Endocrinology, Diabetes & Metabolism Physician
- Bennington, VT
National Provider Identifier
1194773200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0420008576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN0411 | Medicaid | VT | |
| 28111 | Other | VT | MVP HEALTH PLAN |
| 00018643 | Other | VT | VERMONT 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0420008576 | VT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.