GREEN MOUNTAIN RADIOLOGY NPI 1518059039

NPI Information

NPI: 1518059039
Provider Name: GREEN MOUNTAIN RADIOLOGY
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 130 FISHER RD
CENTRAL VERMONT HOSPITAL
BERLIN, VT
ZIP 05602
Phone: (802) 371-4249

Map and Directions

Get Directions

NPI Details

GREEN MOUNTAIN RADIOLOGY is a diagnostic radiology radiology in Berlin, VT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GREEN MOUNTAIN RADIOLOGY NPI is 1518059039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 FISHER RD
CENTRAL VERMONT HOSPITAL
BERLIN, VT
ZIP 05602-516
Phone: (802) 371-4249

The provider's authorized official is Robert Dale Johnson .
The authorized official title is President and has the following contact phone number (802) 371-4249.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GREE00005061	OTHER	VERMONT	BLUE SHIELD
2	0005061	MEDICAID	VERMONT

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI