Active NPI
Home Farm Family Medicine PLLC
- Family Medicine Physician
- Brattleboro, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOME FARM FAMILY MEDICINE PLLC
- Practice address
- 62 Elliot St
Brattleboro, VT 05301-3208 - Phone
- (802) 490-1904
- Fax
- (802) 738-0087
- NPI assigned
- Nov 12, 2019
- Last updated
- Apr 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
- Dr. Jeremy Morrison, D.O.
- Title
- Primary Provider / Physician
- Phone
- (802) 490-1904
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
62 Elliot St
Brattleboro, VT 05301-3208
Mailing address
62 Elliot St
Brattleboro, VT 05301-3208
Phone (802) 490-1904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027050 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
62 Elliot St
Brattleboro, VT 05301
Phone (802) 251-0888
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Brattleboro, VT
- NPI 1154769685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1982249157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ELLIOT ST",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053013208",
"telephone_number": "802-490-1904",
"fax_number": "802-738-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ELLIOT ST",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053013208",
"telephone_number": "802-490-1904",
"fax_number": "802-738-0087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME FARM FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-12",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRIMARY PROVIDER / PHYSICIAN",
"authorized_official_telephone_number": "802-490-1904",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027050",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.