Edward Sbardella, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0007661 Issued in VT

Practice address

75 Linden St
Brattleboro, VT 05301-4807

Phone

(802) 257-7785

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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.

Credentials

Doctor of Medicine

State licenses

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.

• Brattleboro Retreat

  • Institutional Pharmacy
  • Brattleboro, VT
  • NPI 1295947950
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1356428049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BEAVER POND RD",
            "city": "DUMMERSTON",
            "state": "VT",
            "postal_code": "053018878",
            "telephone_number": "802-254-4116",
            "fax_number": "802-258-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LINDEN ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053014807",
            "telephone_number": "802-257-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBARDELLA",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VT",
            "license": "042-0007661",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0007661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009886",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph G Santry, OD
• Hema Gomathy Sathish Kumar
• Julianne Savage-Boeding
• Shayna Sawyer, AUD
• Michele Nicole Francine Sayball, N.D., MIDWIFE
• Matthew Anthony Sbardella, F.N.P.
• Matthew J Schibley, LCMHC
• Christopher John Schmidt, M.D.
• Margot Kuhns Schmitt, LICSW
• Emma Catherine Price Schneider, PHD, RN, IBCLC

• Psychiatry Physician in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.