NPIMap

Individual provider Active NPI

Jeffrey Bianconi, MD

  • Emergency Medicine Physician
  • Claremont, NH
National Provider Identifier
1821029182
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10152 Issued in NH
Practice address
243 Elm Street
Claremont, NH 03743-2099
Phone
(603) 542-7771
Fax
(603) 543-6950
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0420007732 VT
Emergency Medicine Physician 207P00000X 10152 NH Primary

Addresses

Primary practice location

243 Elm Street
Claremont, NH 03743-2099

Mailing address

243 Elm Street
Claremont, NH 03743-2099
Phone (603) 542-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420007732VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Hospital, Inc. Current Accepting new patients
Rutland Hospital, Inc. Current Accepting new patients
Mid Vermont Pathology PC Current Accepting new patients
Rutland Hospital, Inc. Current Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Emergency Medicine Associates Emergency Medicine Past Accepting new patients

Locations

160 Allen St
Rutland, VT 05701

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1821029182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ELM STREET",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432099",
            "telephone_number": "603-542-7771",
            "fax_number": "603-543-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ELM STREET",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432099",
            "telephone_number": "603-542-7771",
            "fax_number": "603-543-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCONI",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "0420007732",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "10152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.