Individual provider Active NPI

Meghan Gunn, M.D.

  • Pediatrics Physician
  • North Bennington, VT
National Provider Identifier
1811216815
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042.0012635 Issued in VT
Practice address
5 Main St
North Bennington, VT 05257-9003
Phone
(802) 523-2725
Fax
(802) 217-7284
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 042.0012635 VT Primary

Addresses

Primary practice location

5 Main St
North Bennington, VT 05257-9003

Mailing address

PO Box 444
North Bennington, VT 05257-0444
Phone (802) 523-2725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000621 VT Practitioner - Pediatric MedicinePractitioner - Hospitalist 5395979629 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042.0012635VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. CurrentSince Aug 19, 2013 Accepting new patients
Southwestern Vermont Medical Center Inc. Pediatrics CurrentSince Aug 19, 2013 Accepting new patients

Locations

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

140 Hospital Dr
Ste 210
Bennington, VT 05201
Phone (802) 447-3930

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

5957 Main St
Manchestr Ctr, VT 05255
Phone (802) 362-4440

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1811216815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052570444",
            "telephone_number": "802-523-2725",
            "fax_number": "802-217-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAIN ST",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579003",
            "telephone_number": "802-523-2725",
            "fax_number": "802-217-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "MEGHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042.0012635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bennington, VT

Sources for this page

Verify at the official NPI Registry.