Individual provider Active NPI

Morgan Broadfoot, PA-C, MPAS

  • Physician Assistant
  • Putney, VT
National Provider Identifier
1952948770
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031461 Issued in VT
Practice address
79 Main Street
Putney Family Healthcare
Putney, VT 05346-8318
Phone
(802) 387-5581
Fax
(802) 387-6694
NPI assigned
Dec 1, 2019
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031461 VT Primary

Addresses

Primary practice location

79 Main Street
Putney Family Healthcare
Putney, VT 05346-8318

Mailing address

418 Houghton Brook Rd
Putney, VT 05346-8675
Phone (802) 490-1904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200723003716 VT Practitioner - Physician Assistant 1456775303 Reassigns benefits to 1 organization
I20210506002222 NH Practitioner - Physician Assistant 1456775303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brattleboro Memorial HospitalGroup PAC ID 9335112929, 70 clinicians

Practice addresses (Care Compare)

17 Belmont Ave
Brattleboro, VT 05301-3498

17 Belmont Ave
Brattleboro, VT 05301-7601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055.0031461VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince Apr 12, 2021 Accepting new patients
Springfield Medical Care Systems Inc. Family Medicine CurrentSince Apr 12, 2021 Accepting new patients
Brattleboro Memorial Hospital Family Medicine PastSince Sep 29, 2024 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 6

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": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1952948770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HOUGHTON BROOK RD",
            "city": "PUTNEY",
            "state": "VT",
            "postal_code": "053468675",
            "telephone_number": "802-490-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAIN STREET",
            "address_2": "PUTNEY FAMILY HEALTHCARE",
            "city": "PUTNEY",
            "state": "VT",
            "postal_code": "053468318",
            "telephone_number": "802-387-5581",
            "fax_number": "802-387-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADFOOT",
        "first_name": "MORGAN",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putney, VT

Sources for this page

Verify at the official NPI Registry.