Tony Blofson, M.D.
Individual provider Active NPI Family Medicine Physician · Brattleboro, VT
NPI 1306807623 · NPPES record last updated Mar 5, 2010
Key facts
- NPI
- 1306807623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420010029 (VT)
- Practice address
- 120 Maple St
Brattleboro, VT 05301-6818 - Phone
- (802) 254-1311
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Memorial Hospital
Practice addresses (Care Compare)
17 Belmont Ave
Brattleboro, VT 05301-3498
17 Belmont Ave
Brattleboro, VT 05301-7601
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Bayada Hospice
- Brattleboro Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Brattleboro Memorial Hospital |
Hospital | Corporate Officer Corporate Director W-2 Managing Employee |
Nov 1, 2025 Nov 1, 2025 Nov 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080318000509 | VT | Practitioner - Family Practice | 6608952528 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420010029 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Family Medicine | Current |
Accepting new patients |
Locations
120 Maple St
Brattleboro, VT 05301
Phone (603) 552-3309
63 Belmont Ave
Brattleboro, VT 05301
Phone (802) 254-1113
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420010029 | VT | Yes |
Addresses
Primary practice location
120 Maple St
Brattleboro, VT 05301-6818
Mailing address
120 Maple St
Brattleboro, VT 05301-6818
Phone (802) 254-1311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2272 | Medicaid | VT |
Other providers in Brattleboro, VT
- Jeremy Dixon Birch
- Taylor James Bird
- Herbert T Black
- Jennifer Black
- Autumn Soleil Blais
- Dawn Blom
- Christiana Blomfield
- Karen Blumberg
- Katherine Jane Bogart
- Susan Anne Boltz-McCarthy
All providers in Brattleboro, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.