Freedom Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FREEDOM MEDICAL LLC

Practice address

268 N Main St
Ste 2
St Albans, VT 05478-2500

Phone

(802) 524-1451

Fax

(802) 524-0975

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James R Burfoot

Title

Owner

Phone

(802) 524-1451

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477536506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N MAIN ST",
            "address_2": "STE 2",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054782500",
            "telephone_number": "802-524-1451",
            "fax_number": "802-524-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 N MAIN ST",
            "address_2": "STE 2",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054782500",
            "telephone_number": "802-524-1451",
            "fax_number": "802-524-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURFOOT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-524-1451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV NUMBER",
            "identifier": "4693408",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH CIGNA PROV NUMBER",
            "identifier": "553990",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS VT PROV NUMBER",
            "identifier": "FREE59589",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009657",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROV NUMBER",
            "identifier": "88890",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in St Albans, VT
• Providers in St Albans, VT by specialty
• Customized Equipment (DME) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.