William T Gerson, M.D.
Individual provider Active NPI Pediatrics Physician · South Burlington, VT
NPI 1528072212 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528072212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0420007748 (VT)
- Practice address
- 52 Timberlane
South Burlington, VT 05403-7296 - Phone
- (802) 658-2320
- Fax
- (802) 863-6933
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420007748 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Past | Accepting new patients | |
| Pediatric Medicine, PLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGFCA/Endpoint/IHGFCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0420007748 | VT | Yes |
Addresses
Primary practice location
52 Timberlane
South Burlington, VT 05403-7296
Mailing address
52 Timberlane
South Burlington, VT 05403-7296
Phone (802) 658-2320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002259 | Medicaid | VT | |
| 2487 | Other | VT | BLUE CROSS BLUE SHIELD |
| 26V020 | Other | VT | MVP |
Other providers in South Burlington, VT
- Abby Gelfer
- Jill Marie Geoffrion
- Derek Andrew George
- Kathryn R George
- Nicole George
- Get Healthy Vermont, PC
- Get Well Inc
- Emma Getty
- Nicol Giandomenico
- Cheryl A Gibson
All providers in South Burlington, VT · Pediatrics Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.