Active NPI
Landry & Brandes MD'S PLC
- Internal Medicine Physician
- Burlington, VT
National Provider Identifier
1699789693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LANDRY & BRANDES MD'S PLC
- Practice address
- 1205 North Ave
Burlington, VT 05408-2751 - Phone
- (802) 860-3934
- Fax
- (802) 865-7616
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- MJ (Mary Jane) Hyduke
- Title
- Office Manager
- Phone
- (802) 860-3934
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | VT | Primary |
Addresses
Primary practice location
1205 North Ave
Burlington, VT 05408-2751
Mailing address
1205 North Ave
Burlington, VT 05408-2751
Phone (802) 860-3934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009417 | Medicaid | VT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1699789693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 NORTH AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054082751",
"telephone_number": "802-860-3934",
"fax_number": "802-865-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 NORTH AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054082751",
"telephone_number": "802-860-3934",
"fax_number": "802-865-7616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDRY & BRANDES MD'S PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "HYDUKE",
"authorized_official_first_name": "MJ (MARY JANE)",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "802-860-3934"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009417",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.