BRADFORD PSYCHIATRIC ASSOCIATES. LLC – NPI #1184747339
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
BRADFORD PSYCHIATRIC ASSOCIATES. LLC is a provider located in RUTLAND, VT. NPPES has assigned the NPI number 1184747339 to BRADFORD PSYCHIATRIC ASSOCIATES. LLC on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Jul 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRADFORD PSYCHIATRIC ASSOCIATES. LLC below.
NPI Profile for
BRADFORD PSYCHIATRIC ASSOCIATES. LLC
(more than 19 years ago)
RUTLAND, VT 05701-4892 Phone: (802) 775-7798 Fax: (802) 775-7762
1 Other location(s):
White River Junction, VT 05001-2036
Phone: (802) 281-6364
Fax: (802) 281-6365
PRACTICE ADMINISTRATOR
Phone: (802) 775-7798
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BRADFORD PSYCHIATRIC ASSOCIATES. LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | VT | 1012105 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RA0401X - Internal Medicine / Addiction Medicine (Primary) |
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| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
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| 363A00000X - Physician Assistant |
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| 207R00000X - Internal Medicine |
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| 101YM0800X - Counselor / Mental Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.