Biologic Integrative Healthcare LLC
Organization Active NPI Multi-Specialty Clinic/Center · Brattleboro, VT
NPI 1447414065 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1447414065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- BIOLOGIC INTEGRATIVE HEALTHCARE LLC
- Practice address
- 205 Main St
Suite 4
Brattleboro, VT 05301-2867 - Phone
- (802) 275-4732
- NPI assigned
- Jul 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Samantha K Eagle, MS, ND
- Title
- Sole Member/Owner
- Phone
- (802) 275-4732
Practitioners 6
-
Casey B Johnson, MD
-
Samantha Kane Eagle, N.D., M.S.
-
Brenton Murphy, ND, MPH
-
Cheryl Diane Proctor, N.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D1075349 | Biologic Integrative Healthcare LLC | Certificate of waiver | Oct 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120410000131 | VT | Part B Supplier - Clinic/Group Practice | 3274794755 |
Receives reassigned benefits from 2 practitioners Practice locations: Brattleboro, VT |
National Provider Directory
Locations
205 Main St
Ste 3
Brattleboro, VT 05301
Phone (802) 275-4732
205 Main St
Ste 4
Brattleboro, VT 05301
Phone (802) 275-4732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
205 Main St
Suite 4
Brattleboro, VT 05301-2867
Mailing address
205 Main St Ste 4
Brattleboro, VT 05301-2868
Phone (802) 275-4732
Other providers in Brattleboro, VT
- Remy Jean Bennett
- Erin Berard
- Meredith Bernstein
- Alexandra C Berton
- Kirsten A Beske
- Birch Path Counseling LLC
- Jeremy Dixon Birch
- Taylor James Bird
- Herbert T Black
- Jennifer Black
All providers in Brattleboro, VT · Multi-Specialty Clinic/Center in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. 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.
- 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.