BROOKSIDE FAMILY HEALTH CENTER, PLLC (NPI# 1952702219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952702219 |
| Entity Type | Organization |
| Organization Name | BROOKSIDE FAMILY HEALTH CENTER, PLLC |
| Practice Address |
206 Commerce St Hinesburg VT 05461-0416 |
| Mailing Address |
Po Box 416 206 Commerce St Hinesburg VT 05461-0416 |
| Practice Telephone | 8024823900 |
| Practice Fax Number | 8024824159 |
| Mailing Telephone | 8024823900 |
| Mailing Fax Number | 8024824159 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | DR. ROGER JOSEPH GIROUX (OWNER) |
| Authorized Official Telephone | 8024823900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 42-0008119 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 9210 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | BROOKSIDE FAMILY HEALTH CENTER, PLLC | 206 Commerce St, Hinesburg, VT 05461 |
| Street Address |
206 COMMERCE ST |
| City | HINESBURG |
| State | VT |
| Zip Code | 05461-0416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942473566 | Roger Joseph Giroux | Family Medicine | 206 Commerce St, Hinesburg, VT 05461-4460 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285089557 | Andrea Francis | Nutritionist | 448 Dynamite Hill Road, Hinesburg, VT 05461 | 2016-04-25 |
| 1568606416 | Michelle Jennifer Mertz | Family Medicine | 22 Commerce Ave., Fahc - Hinesburg Family Medicine, Hinesburg, VT 05461 | 2009-04-22 |
| 1871705178 | Richard Bruce Metz Dmd | Dentist | 82 Ballards Corner Rd., Hinesburg, VT 05461 | 2007-05-07 |
| 1386778215 | Caroline Nickerson | Social Worker | 202 Southwind Road, Hinesburg, VT 05461 | 2007-03-15 |
| 1194804096 | Associates In Orthopaedic Surgery, PC | Orthopaedic Surgery | 6 San Remo Drive, Suite 101, South Burlington, VT 05461 | 2006-11-03 |
| 1508976689 | Richard B Metz | Dentist | 82 Ballards Corner Rd, Hinesburg, VT 05461 | 2006-08-30 |
| 1326012477 | Lori P Mckenna | Social Worker | 1 Kennedy Dr L6, Lori P Mckenna, So Burlington, UT 05461 | 2006-02-15 |
| 1437281128 | Hinesburg Family Health PC | Family Medicine | 22 Commerce St, Unit 10, Hinesburg, VT 05461 | 2007-03-09 |
| 1750471561 | Holly T Whitcomb | Family Medicine | 22 Commerce St, Unit 10, Hinesburg, VT 05461 | 2006-10-13 |
| 1457605255 | Alyssa B Consigli | Dietitian, Registered | 222 Farmall Dr, Hinesburg, VT 05461-4444 | 2012-10-31 |
| Find all providers in zip 05461 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780185991 | Cigna Onsite Health LLC | Clinic/Center | 1 National Life Dr, Montpelier, VT 05604-1000 | 2018-02-22 |
| 1093115651 | Christie Brown | Clinic/Center | 238 Woods Farm Rd, Newport, VT 05855-8930 | 2014-09-01 |
| 1689964736 | American Current Care Pa | Clinic/Center | 57 Fayette Road, Ste 4, South Burlington, VT 05403-6964 | 2011-04-11 |
| 1376833442 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7 Fayette Drive, Unit 1, South Burlington, VT 05403 | 2011-04-11 |
| 1912211210 | Back To Wellness Plc | Clinic/Center | 368 Dorset St Ste 3, South Burlington, VT 05403-6236 | 2010-07-29 |
| 1932363041 | Oral and Facial Surgery Associates,plc | Clinic/Center | 2 Harwood Dr, Bennington, VT 05201-2323 | 2008-07-17 |
| 1346279296 | Vermont Neurosurgical Associates | Clinic/Center | 231 Mussey St, Rutland, VT 05701-4843 | 2006-07-02 |
| 1104884824 | Affiliates In Obstetrical & Gynecological Care Inc | Clinic/Center | 96 Colchester Ave, Burlington, VT 05401-1417 | 2006-05-02 |
| 1225658271 | Dorset Physio Physical Therapy Plc | Clinic/Center | 3057 Route 30, Dorset, VT 05251 | 2020-04-20 |
| 1902458896 | Tamarack Family Medicine | Clinic/Center | 109 Professional Dr, Morrisville, VT 05661-8524 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.