Active NPI
Robert Backus, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Townshend, VT
National Provider Identifier
1629068184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 0420006390
- Practice address
- 185 Grafton Rd.
Townshend, VT 05353 - Phone
- (802) 365-4331
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 0420006390 | VT | Primary |
Addresses
Primary practice location
185 Grafton Rd.
Townshend, VT 05353
Mailing address
PO Box 216
Townshend, VT 05353-0216
Phone (802) 365-4331
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1629068184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 216",
"city": "TOWNSHEND",
"state": "VT",
"postal_code": "053530216",
"telephone_number": "802-365-4331",
"fax_number": "802-365-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 GRAFTON RD.",
"city": "TOWNSHEND",
"state": "VT",
"postal_code": "05353",
"telephone_number": "802-365-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKUS",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "VT",
"license": "0420006390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Townshend, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.