Individual provider Active NPI

Robert A Trembley, MD

  • Internal Medicine Physician
  • Newport, VT
National Provider Identifier
1407966682
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0420007285 Issued in VT
Practice address
41 Medical Village Dr
Newport, VT 05855-9835
Phone
(802) 334-3504
Fax
(802) 334-3512
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0420007285 VT Primary

Addresses

Primary practice location

41 Medical Village Dr
Newport, VT 05855-9835

Mailing address

41 Medical Village Dr
Newport, VT 05855-9835
Phone (802) 334-3504

Other identifiers 3

IdentifierTypeStateIssuer
0002510MedicaidVT
0002510OtherVTBLUE SHIELD
11586OtherVTMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420007285VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care Inc PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients
Northern Counties Health Care, Inc. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1407966682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-3504",
            "fax_number": "802-334-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559835",
            "telephone_number": "802-334-3504",
            "fax_number": "802-334-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLEY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420007285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002510",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0002510",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "11586",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.