George C Fjeld, MD
Individual provider Active NPI Family Medicine Physician · Brandon, VT
NPI 1720074743 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1720074743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 420006971 (VT)
- Practice address
- 420 Grove St
Brandon, VT 05733-9062 - Phone
- (802) 247-6305
- Fax
- (802) 247-6040
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420006971 | VT | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 420006971 | VT | Yes |
Addresses
Primary practice location
420 Grove St
Brandon, VT 05733-9062
Mailing address
71 Allen St
Ste 403
Rutland, VT 05701-4570
Phone (802) 772-4414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04030324 | Medicaid | NY | |
| 6049 | Medicaid | VT |
Other providers in Brandon, VT
- Community Health Centers of the Rutland Region, Inc.
- John F Dick II
- Susanne F. Engels
- Laura G Ethier
- Carol Ellen Fjeld
- Rhonda June Foley
- Charles L Foster
- Sarah Graham
- Green Mountain Psychology PLLC
- Parker Hack
All providers in Brandon, VT · Family Medicine 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 Aug 23, 2016. 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.