Christopher Butryn
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Burlington, VT
NPI 1861296469 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1861296469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-2345
- NPI assigned
- Apr 2, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618002028 | VT | Order and Referring Only - Internal Medicine |
7113438821 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
1064 Swamp Rd
Fairfield, VT 05455-5483
Phone (201) 661-0971
Other providers in Burlington, VT
- Michael Bustamantes
- Marie Anne Christine Buteau
- Margaret Leland Butler
- William M. Butler
- Kelly Jo Butnor
- Mary Ellen Buttitta
- Berna F Buyukozturk
- Pamela Ann Byrd
- C. Emma Burrous, PH.D., PLC
- Robert James Cade
All providers in Burlington, VT · Student in an Organized Health Care Education/Training Program in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.