Organization Active NPI

Landry & Brandes MD'S PLC

  • Internal Medicine Physician
  • Burlington, VT
National Provider Identifier
1699789693
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jun 10, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1009417MedicaidVT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.