Michael Reid Mindrum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0011197 Issued in VT

Practice address

225 S Main St
Barre Internal Medicine
Barre, VT 05641-4815

Phone

(802) 479-3302

Fax

(802) 479-2517

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Vermont Medical Center Inc

  • Family Medicine Physician
  • Berlin, VT
  • NPI 1023028784

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790894368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CVMC MEDICAL GROUP PRACTICES",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-5326",
            "fax_number": "802-371-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "address_2": "BARRE INTERNAL MEDICINE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414815",
            "telephone_number": "802-479-3302",
            "fax_number": "802-479-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDRUM",
        "first_name": "MICHAEL",
        "middle_name": "REID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0011197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medoptions of Vermont LLC
• Arnold G Meixel, LCMHC
• Katie L. Merrill, MA
• Jillian Miller
• Sara Jayne Miller, LCMHC
• Carl L. Mintken, MED
• Nicole Mintken, BSN, RN
• Danielle L Mitchell, LICSW
• Angela Mongeon, PT
• Rebecca M Montgomery, CNM

• Internal Medicine Physician in Barre, VT
• Providers in Barre, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.