NPI 1093745580 · live from the CMS NPI Registry
Richard Andrew Burgoyne, M.D.
Family Medicine in Waterbury, VT. National Provider Identifier 1093745580, active.
NPI record
| NPI | 1093745580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 130 S Main St, Waterbury, VT 05676 |
| Practice phone | 802-244-7874 |
| Mailing address | Po Box 547, Central Vermont Medical Center - Finance Dept, Barre, VT 05641 |
| Enumerated | July 3, 2006 |
| Last updated | December 4, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | D0042816 (MD) |
| Family Medicine primary | 207Q00000X | 0420011847 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.