DR. PETER DOUGLAS GIBBONS


Address: 17 Belmont Ave, Brattleboro, VT 05301
Phone: 8022570115

DR. PETER DOUGLAS GIBBONS (NPI# 1639239312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639239312
Entity Type Individual
Full Name DR. PETER DOUGLAS GIBBONS
Credential MD
Practice Address 17 Belmont Ave
Brattleboro
VT 05301
Mailing Address 17 Belmont Ave.
Brattleboro
VT 05301
Practice Telephone 8022570115
Practice Fax Number 8022578849
Mailing Telephone 8022578360
Mailing Fax Number 8022578849
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
042-0004180 VT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VT 0004779 05
VT BLUE SHIELD 00004779 01
VT COMMERCIAL 03-0239725 01

Other Providers PETER GIBBONS

NPI Name Taxonomy Address Enumeration
1639586761 Peter A Gibbons Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338-6128 2014-07-21

Office Location

Street Address 17 BELMONT AVE
City BRATTLEBORO
State VT
Zip Code 05301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306849708 Brattleboro Memorial Hospital Pediatrics 17 Belmont Ave, Brattleboro, VT 05301-3498 2005-05-31
1750910931 Clayton Michael Mcginnis Nurse Practitioner 17 Belmont Ave, Brattleboro, VT 05301-7601 2020-04-08
1760992002 Hannah Cressy Nurse Practitioner 17 Belmont Ave, Brattleboro, VT 05301-7601 2017-09-30
1518418201 Angela P. Miller Nurse Practitioner 17 Belmont Ave, Brattleboro, VT 05301-7601 2016-10-18
1740644236 Anne Mccandless Registered Nurse 17 Belmont Ave, Brattleboro, VT 05301-7601 2016-04-11
1700273133 Laurie Kuralt Nurse Practitioner 17 Belmont Ave, Brattleboro, VT 05301-7601 2015-04-23
1053704924 Samantha Bellamy Radiologic Technologist 17 Belmont Ave, Brattleboro, VT 05301-7601 2015-03-16
1235558081 Jennifer Black Obstetrics & Gynecology 17 Belmont Ave, Brattleboro, VT 05301-7601 2014-04-09
1013216324 Tatyana Pankratova Internal Medicine 17 Belmont Ave, Brattleboro, VT 05301-7601 2011-03-25
1174843155 Elizabeth A. Mclarney, M.d., P.C. Orthopaedic Surgery 17 Belmont Ave, Brattleboro, VT 05301-7601 2010-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013575372 Roberta M. White Psychologist 72 Whetstone Rd, Brattleboro, VT 05301 2019-06-03
1225526940 Audrey Johnston Nurse Practitioner Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 2018-04-27
1811349582 Jillian Barney Physician Assistant 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 2016-07-06
1326413899 Gabriella Neacsu Katz Nurse Practitioner 1860 Weatherhead Hollow Rd, Guilford, VT 05301 2015-12-09
1942608914 Kathryn Peterson Registered Nurse 105 Winter St Apt 2, Brattleboro, VT 05301 2014-12-08
1558762823 Saryn T Lauzon Registered Nurse 2 Maplewood Drive, Brattleboro, VT 05301 2014-09-05
1912248691 Robert Joseph Stack Counselor 1 Linden Street, Brattleboro, VT 05301 2013-03-06
1053651760 Christopher M. Deszynski Naturopath 73 Main St Ste 4, Brattleboro, VT 05301 2013-02-18
1518236355 Christine Hamrin Licensed Practical Nurse 54 Spruce Street, Brattleboro, VT 05301 2011-12-23
1881924934 Margrit C. Mikulis Naturopath 147 Orchard St, Brattleboro, VT 05301 2010-01-12
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700011673 Mariusz Paluch Radiology 17 Belmont Ave, Brattleboro, VT 05301-3498 2009-05-21
1285774307 Windham Radiology Associates Inc Radiology 17 Belmont Ave, Brattleboro, VT 05301-6613 2007-02-07
1013953793 Edward F. Elliott Jr. Radiology 17 Belmont Ave, Brattleboro, VT 05301-6613 2006-06-21
1063469419 Walter Wagenknecht Radiology 17 Belmont Ave, Brattleboro, VT 05301-7601 2006-05-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457643272 Matthew G. Geeslin Radiology 111 Colchester Ave Dept Of, Burlington, VT 05401-1473 2011-05-12
1871758201 G. Kenneth Dehart Jr. Radiology 1298 Savage Point Rd., Box 126, North Hero, VT 05474-0126 2008-07-24
1477740843 Raymond L Horwitz Radiology 47 Rogues Ridge Rd., Winhall, VT 05340 2007-10-01
1932286523 Charles Nicholas Pappas Radiology 609 Stockbridge Rd, Charlotte, VT 05445-9361 2006-11-01
1659463578 James Russell Chandler Radiology 1 Fisher Road, Central Vermont Hospital, Barre, VT 05401 2006-09-28
1467499053 Jane C Primm Radiology 111 Colchester Ave, Acc-2nd Fl, Fletcher Allen Health Care, Burlington, VT 05401-1473 2006-06-01
1356328975 Michael A Nissenbaum Radiology 333 Wade Pasture Rd, Stowe, VT 05672-5384 2005-12-23
1679042196 Matthew Maya Radiology 163 Veterans Dr, White River Junction, VT 05009-0001 2018-11-14
1881081743 Aaron Dewald Radiology 111 Colchester Ave, Burlington, VT 05401-1473 2015-04-17
1043630510 Ryan Wolfe Radiology 111 Colchester Ave, Burlington, VT 05401-1473 2014-04-23
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Competitor

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City BRATTLEBORO
Zip Code 05301

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Dataset Information

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.

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