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
- Last updated
- Aug 13, 2025
- 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 DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- 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.