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DR. JENNIFER BERGERON CARLSON MD NPI 1710939814


NPI Information

NPI: 1710939814
Provider Name: DR. JENNIFER BERGERON CARLSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
52 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 658-2320
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DR. Jennifer Bergeron Carlson, MD is a pediatrics in South Burlington, VT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jennifer Bergeron Carlson, MD NPI is 1710939814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

52 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403-204
Phone: (802) 658-2320

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics5758864-1205UTAHNo
22080P0204XPediatricsPediatric Emergency Medicine5758864-1205UTAHNo
3208000000XPediatrics042-0011786VERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.