Carol R Boyes, PA
Individual provider Active NPI Pediatrics Physician · Brattleboro, VT
NPI 1326001025 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1326001025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 055-0030003 (VT)
- Practice address
- 21 Belmont Ave
Brattleboro, VT 05301-7110 - Phone
- (802) 228-3905
- Fax
- (802) 258-4903
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030003 | VT | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 055-0030003 | VT | Yes |
Addresses
Primary practice location
21 Belmont Ave
Brattleboro, VT 05301-7110
Mailing address
600 Blair Park Rd
Suite 190
Williston, VT 05495-7586
Phone (802) 872-4343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900351 | Medicaid | VT |
Other providers in Brattleboro, VT
- Susan Anne Boltz-McCarthy
- Teresa Boni
- Kelsea Borelli
- Sabina Bosley
- Paul D. Boutin
- Gwen Boynton
- Bratt Eye PLLC
- Brattleboro Area Adult Day Services, Inc.
- Brattleboro Area Ophthalmology, P.C.
- Brattleboro Crossings LLC
All providers in Brattleboro, VT · Pediatrics 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 Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.