NPI 1205914884 · live from the CMS NPI Registry
Spencer L. Blackman, MD
Family Medicine in Burlington, VT. National Provider Identifier 1205914884, active.
NPI record
| NPI | 1205914884 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 462 Shelburne Rd Ste 102, Burlington, VT 05401 |
| Practice phone | 802-227-4417 |
| Enumerated | November 1, 2006 |
| Last updated | August 18, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | V4643 (TX) |
| Family Medicine | 207Q00000X | 84995 (GA) |
| Family Medicine | 207Q00000X | 2020-04415 (NC) |
| Family Medicine | 207Q00000X | 296496 (NY) |
| Family Medicine | 207Q00000X | 254843 (MA) |
| Family Medicine primary | 207Q00000X | 042.0013274 (VT) |
| Family Medicine | 207Q00000X | ME43528 (FL) |
| Family Medicine | 207Q00000X | a88542 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.