Individual provider Active NPI

Brandon Reed Benton, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1336832971
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0137694 Issued in VT
Practice address
617 Riverside Ave
Burlington, VT 05401-1601
Phone
(802) 864-6309
NPI assigned
May 30, 2023
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116304 WV
Family Nurse Practitioner 363LF0000X 352633 NY
Family Nurse Practitioner 363LF0000X 101.0137694 VT Primary

Addresses

Primary practice location

617 Riverside Ave
Burlington, VT 05401-1601

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Other practice location 1

341 Spruce St
Morgantown, WV 26505-5504
Phone (304) 292-8234

Other practice location 2

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone (212) 271-7200

Other practice location 3

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 404-1350

Other practice location 4

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Other practice location 5

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230801001572 WV Practitioner - Nurse Practitioner 8729449251 Reassigns benefits to 1 organization
I20250909002598 VT Practitioner - Nurse Practitioner 8729449251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
352633NYMDFamily Nurse Practitioner
101.0137694VTMDFamily Nurse Practitioner
116304WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Jul 28, 2025 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Jul 28, 2025 Accepting new patients
Community Health Centers of Burlington Inc Past Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

179 Pearl St
Burlington, VT 05401
Phone (802) 652-1080

184 S Winooski Ave
Burlington, VT 05401
Phone (802) 860-4310

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

617 Riverside Ave
Ste 200
Burlington, VT 05401

76 Glen Rd
Burlington, VT 05401
Phone (802) 528-1092

789 Pine St
Burlington, VT 05401
Phone (802) 264-1052

87 Main St
Essex Junction, VT 05452
Phone (802) 404-1350

32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

6040 University Town Centre Dr
Morgantown, WV 26501

Interoperability endpoints

  • Direct secure messaging: brandon.benton.p1@direct.chcb.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1336832971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265055504",
            "country_code": "US",
            "telephone_number": "304-292-8234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Flatbush Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112012903",
            "country_code": "US",
            "telephone_number": "212-271-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Main St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523234",
            "country_code": "US",
            "telephone_number": "802-404-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-864-0693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Malletts Bay Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054041960",
            "country_code": "US",
            "telephone_number": "802-655-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "BRANDON",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "116304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0137694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.