Individual provider Active NPI

David M. Bisbee, M.D.

  • Family Medicine Physician
  • Stowe, VT
National Provider Identifier
1871598722
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420007377 Issued in VT
Practice address
53 Old Farm Road
Stowe, VT 05672-0357
Phone
(802) 253-5020
Fax
(802) 253-5021
NPI assigned
Jun 16, 2005
Last updated
Jan 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420007377 VT Primary

Addresses

Primary practice location

53 Old Farm Road
Stowe, VT 05672-0357

Mailing address

PO Box 357
53 Old Farm Road
Stowe, VT 05672-0357
Phone (802) 253-5020

Other identifiers 6

IdentifierTypeStateIssuer
78204OtherVTMVP
566280OtherVTCIGNA
PENDINGMedicaidVT
043358048OtherVTCOMMERCIAL INSURANCE
080185842OtherVTRAILROAD MEDICARE
00005858OtherVTBLUE CROSS

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
I20060920000302 VT Practitioner - Family Practice 4486631447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1878 Mountain Rd
Suite 3
Stowe, VT 05672-4775
Phone (802) 253-5020

53 Old Farm Rd
Stowe, VT 05672-4434
Phone (802) 253-5020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420007377VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stowe Personalized Medical Care PLLC Family Medicine CurrentSince Sep 30, 2013 Accepting new patients
Concord Hospital, Inc. Past Accepting new patients
Riverbend Community Mental Health, Inc. Past Accepting new patients

Locations

166 S Main St
Unit 1B
Stowe, VT 05672
Phone (802) 253-5020

53 Old Farm Rd
Stowe, VT 05672
Phone (802) 253-5020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCDCA/Endpoint/JJCDCA

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1871598722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "address_2": "53 OLD FARM ROAD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056720357",
            "telephone_number": "802-253-5020",
            "fax_number": "802-253-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OLD FARM ROAD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056720357",
            "telephone_number": "802-253-5020",
            "fax_number": "802-253-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEE",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420007377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "78204",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "566280",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "043358048",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080185842",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00005858",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

Verify at the official NPI Registry.