NPI 1497846067 · live from the CMS NPI Registry
Robert Dale Johnson, M.D.
Radiology, Diagnostic Radiology in Berlin, VT. National Provider Identifier 1497846067, active.
NPI record
| NPI | 1497846067 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 130 Fisher Rd, Central Vermont Hospital, Berlin, VT 05602 |
| Practice phone | 802-371-4249 |
| Mailing address | 2759 Crosstown Rd, Berlin, VT 05602 |
| Enumerated | September 27, 2006 |
| Last updated | September 1, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Body Imaging | 2085B0100X | 042-0005945 (VT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0005945 (VT) |
| Radiology, Diagnostic Ultrasound | 2085U0001X | 042-0005945 (VT) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 042-0005945 (VT) |
| 2085N0904X | 042-0005945 (VT) | |
| 2085N0700X | 042-0005945 (VT) | |
| Radiology, Pediatric Radiology | 2085P0229X | 042-0005945 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.