DR. GARY F ALSOFROM MD NPI 1154342913

NPI Information

  • NPI: 1154342913
  • Provider Name: DR. GARY F ALSOFROM, MD
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • Address: 111 COLCHESTER AVE
    DEPT. OF RADIOLOGY
    BURLINGTON, VT
    ZIP 05401
  • Phone: (802) 847-3592

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NPI Details

DR. Gary F Alsofrom, MD is a neuroradiology radiology in Burlington, VT. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Gary F Alsofrom, MD NPI is 1154342913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 COLCHESTER AVE
DEPT. OF RADIOLOGY
BURLINGTON, VT
ZIP 05401-473
Phone: (802) 847-3592
Fax: (802) 847-4822

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/8/2007.

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
12085N0700XRadiologyNeuroradiology042-0007582VERMONTYes

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
19557MEDICAIDVERMONT
2E24138MEDICARE UPINVERMONT
3ALVT9557MEDICARE ID-TYPE UNSPECIFIEDVERMONT

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: 3/30/2025

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