Organization Active NPI

Biologic Integrative Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Brattleboro, VT
National Provider Identifier
1447414065
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 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
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Dr. Samantha K Eagle, MS, NDNPI 1013198555
Title
Sole Member/Owner
Phone
(802) 275-4732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000131 VT Part B Supplier - Clinic/Group Practice 3274794755 Receives reassigned benefits from 2 practitioners
Practice locations: Brattleboro, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1075349Biologic Integrative Healthcare LLC205 Main Street Suite 4, Brattleboro, VT 05301Certificate of waiverOct 17, 2027

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1447414065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAIN ST STE 4",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012868",
            "telephone_number": "802-275-4732",
            "fax_number": "802-275-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "address_2": "SUITE 4",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012867",
            "telephone_number": "802-275-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGIC INTEGRATIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "802-275-4732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, ND"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.