Berryhill, Bradley Alan

Berryhill, Bradley Alan is an individual health care provider with primary practice located at 275 Route 30 N Castleton Family Health Center, Bomoseen VT 05732-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berryhill, Bradley Alan can be contacted via phone (802) 468-5641.

Contact Information

Primary practice address
275 Route 30 N Castleton Family Health Center Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420010165 Vermont

Profile Details

NPI number 1699792614
LBN Legal business name Berryhill, Bradley Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jan 30th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699792614 NPPES
New York MEDICAID 03588158
New York MEDICAID OVN2516

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