NPI 1265692453 · live from the CMS NPI Registry
Beverly J. Roseberry, MD, PC
Family Medicine in Rutland, VT. National Provider Identifier 1265692453, active.
NPI record
| NPI | 1265692453 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 11 Commons St, Rutland, VT 05701 |
| Practice phone | 802-779-0114 |
| Enumerated | June 11, 2008 |
| Last updated | October 9, 2009 |
| Authorized official | Beverly Roseberry, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 042-0011545 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.