Brendan Noel Buckley (NPI# 1184689747, PAC ID# 3779590716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1184689747 |
| PAC ID by PECOS | 3779590716 |
| Professional Enrollment ID | I20060315000548 |
| Full Name | Brendan Noel Buckley |
| Organization Legal Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Address |
4 Slapp Hl Hardwick VT 05843-9300 |
| Phone Number | 8024723300 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860300936 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471303 | NORTHEASTERN VERMONT REGIONAL HOSPITAL |
| 471305 | COPLEY HOSPITAL |
| 470003 | UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE |
| 470001 | CENTRAL VERMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4 Slapp Hl, Hardwick, VT 05843-9300 | 8024723300 | NORTHERN COUNTIES HEALTH CARE, INC. |
| Organization Legal Name | NORTHERN COUNTIES HEALTH CARE, INC. |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy L Poginy | Nurse Practitioner | Northern Counties Health Care, Inc. | 82 Maple St, Island Pond, VT 05846 |
| Sarah Morgan | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Jeri B Wohlberg | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Jeniane L Rathburn | Physician Assistant | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Jennifer L Driver | Clinical Social Worker | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| John Raser | Family Medicine | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Timothy H Tanner | Family Medicine | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Allison Marie Ebrahimi Gold | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Peter Guilfoyle | Physician Assistant | Northern Counties Health Care, Inc. | 26 Cedar Ln, Danville, VT 05828-9751 |
| Ruth M Polishuk | Nurse Practitioner | Northern Counties Health Care, Inc. | 185 Sherman Dr, Saint Johnsbury, VT 05819-9811 |
| Street Address |
4 SLAPP HL |
| City | HARDWICK |
| State | VT |
| Zip | 05843-9300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeri B Wohlberg | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Rebecca S Tatel | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Ann Marie Dryden | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Alison Landrey | Internal Medicine | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Elise A Rozendaal | Nurse Practitioner | Northern Counties Health Care, Inc. | 4 Slapp Hl, Hardwick, VT 05843-9300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Jacob Karp | Clinical Psychologist | 130 W Church St, Hardwick, VT 05843 | |
| Victoria L Hill | Physical Therapy | Victoria Hill Physical Therapy, LLC | 13 Pearl St, Hardwick, VT 05843-0038 |
| Nicole Creighton Strong | Physical Therapy | Victoria Hill Physical Therapy, LLC | 13 Pearl St, Hardwick, VT 05843-0038 |
| Margaret A Mcguire | Psychologist, Clinical | 39 Church St, Hardwick, VT 05843-6008 | |
| Gwendolyn Bueckendorf | Clinical Social Worker | 39 Church St, Hardwick, VT 05843-6008 | |
| Alexandra C Gerson | Psychologist, Clinical | 144 S Main St, Hardwick, VT 05843-7046 |
| City | HARDWICK |
| Zip Code | 05843 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HARDWICK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brendan Noel Buckley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.