Active NPI
Integrated Dermatology of South Burlington, PLLC
- Dermatology Physician
- South Burlington, VT
National Provider Identifier
1871199703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF SOUTH BURLINGTON, PLLC
- Practice address
- 321 Dorset St
South Burlington, VT 05403-6639 - Phone
- (802) 660-8808
- Fax
- (802) 660-4310
- NPI assigned
- Dec 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Benson, MD
- Title
- Authorized Group Official
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
321 Dorset St
South Burlington, VT 05403-6639
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0687560 | Integrated Dermatology of South Burlington | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
321 Dorset St
South Burlington, VT 05403
Phone (802) 660-8808
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- South Burlington, VT
- NPI 1316034093
-
- Dermatology Physician
- Colchester, VT
- NPI 1326016742
-
- Physician Assistant
- South Burlington, VT
- NPI 1417379033
-
- Dermatology Physician
- Burlington, VT
- NPI 1023470168
-
- Physician Assistant
- South Burlington, VT
- NPI 1811494669
-
- Dermatology Physician
- Colchester, VT
- NPI 1356444509
-
- Nurse Practitioner
- Barre, VT
- NPI 1558708776
-
- Physician Assistant
- Saint Albans, VT
- NPI 1740763861
-
- Physician Assistant
- South Burlington, VT
- NPI 1811990104
-
- Emergency Medicine Physician
- Randolph, VT
- NPI 1730384827
-
- Specialist
- South Burlington, VT
- NPI 1326041625
-
- Mental Health Counselor
- South Burlington, VT
- NPI 1275575979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1871199703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-314-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 DORSET ST",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036639",
"telephone_number": "802-660-8808",
"fax_number": "802-660-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF SOUTH BURLINGTON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "AUTHORIZED GROUP OFFICIAL",
"authorized_official_telephone_number": "561-314-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.