NPIMap

Individual provider Active NPI

Gavin L Noble, MD

  • Cardiovascular Disease Physician
  • Brandon, VT
National Provider Identifier
1750335014
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD26753 Issued in OR
Practice address
61 Court Dr
Brandon, VT 05733-8407
Phone
(802) 382-3443
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter Hospital Inc 116 clinicians
Elizabethtown Community Hospital 62 clinicians
University of Vermont Medical Center Inc 1,208 clinicians

Practice addresses (Care Compare)

10 N St
PMC Primary Care Vergennes
Vergennes, VT 05491-1107
Phone (802) 877-3466

101 Adirondack Dr
Suite 1
Ticonderoga, NY 12883-9334
Phone (518) 585-2831

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

39 Farrell Rd
Willsboro, NY 12996-3904
Phone (518) 585-2831

61 Court Dr
Brandon, VT 05733-8407
Phone (802) 247-3755

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

82 Catamount Park
Middlebury, VT 05753-1292
Phone (802) 388-7185

Hospital & facility affiliations

  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20151013001186 VT Practitioner - Cardiovascular Disease (Cardiology) 6002861804 Reassigns benefits to 4 organizations
I20200824000234 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002861804 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0013148VTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Jul 9, 2020 Accepting new patients
Elizabethtown Community Hospital CurrentSince Jul 9, 2020 Accepting new patients
Porter Hospital Inc Current Accepting new patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

1330 Exchange St
Middlebury, VT 05753
Phone (802) 388-6565

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

76 Court St
Middlebury, VT 05753
Phone (802) 388-1200

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

10 North St
Ste 101
Vergennes, VT 05491
Phone (802) 877-3466

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: gnoble133948@direct.uvmhealth.org

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 042-0013148 VT
Specialist 174400000X MD26753 OR
Internal Medicine Physician 207R00000X MD26753 OR
Cardiovascular Disease Physician 207RC0000X MD26753 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

61 Court Dr
Brandon, VT 05733-8407

Mailing address

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-2811

Other practice location 1

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-2811

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
028459MedicaidOR
00397411OtherORMEDICARE RAILROAD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2023.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1750335014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016051",
            "telephone_number": "541-382-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COURT DR",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057338407",
            "telephone_number": "802-382-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 NE Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016051",
            "country_code": "US",
            "telephone_number": "541-382-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "GAVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042-0013148",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD26753",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD26753",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD26753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028459",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "00397411",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, VT

Sources for this page

Verify at the official NPI Registry.