John A Bisson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0420005559 Issued in VT

Practice address

64 Colchester Ave
Burlington, VT 05401-1417

Phone

(802) 863-0107

Fax

(802) 658-9292

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jab Inc

  • Urology Physician
  • Burlington, VT
  • NPI 1760656078
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205934247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-863-0107",
            "fax_number": "802-658-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VT",
            "license": "0420005559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007976",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Smith Bird, FNP-BC, IBCLC
• Ashley Marie Birtz, P.A
• Mark C. Bisanzo, MD
• Erin Elizabeth Bishop
• Felipe Pereira Bispo, MD
• Lauren Bissonnette, LCMHC
• Lisa M Black, PA
• Mara Black
• Michelle Lee Black, ATC
• Spencer L. Blackman, MD

• Urology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Urology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.