Individual provider Active NPI

Brooke E Pringle, PAC

  • Physician Assistant
  • Bellows Falls, VT
National Provider Identifier
1215264254
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1 Hospital CT
Bellows Falls, VT 05101-1489
Phone
(802) 463-9000
Fax
(802) 463-1290
NPI assigned
Nov 12, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1 Hospital CT
Bellows Falls, VT 05101-1489

Mailing address

PO Box 710
Springfield, VT 05156-0710
Phone (802) 463-9000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000744 VT Practitioner - Physician Assistant 0648305037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0762NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince Jul 1, 2018 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Jul 1, 2018 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1215264254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051560710",
            "telephone_number": "802-463-9000",
            "fax_number": "802-463-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL CT",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011489",
            "telephone_number": "802-463-9000",
            "fax_number": "802-463-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "BROOKE",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellows Falls, VT

Sources for this page

Verify at the official NPI Registry.