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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRADLEY DEBOER
NPI 1013840081
General Practice in Rutland, VT

Active since June 08, 2026
69 ALLEN ST STE 7&10, RUTLAND, VT 05701(802) 774-5050 Get Directions Write a Review

NPPES record added: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Deboer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY DEBOER (NPI 1013840081) is an individual general practice provider in Rutland, Vermont, licensed in Vermont (016.0134441) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1013840081
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRADLEY DEBOER
Location Address69 ALLEN ST STE 7&10Rutland, VT 05701-4564
Mailing Address69 Allen St Ste 7&10Rutland, VT 05701-4564
Phone(802) 774-5050
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1013840081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VT · 016.0134441
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
69 ALLEN ST STE 7&10, Rutland, VT 05701
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN WITTE DDS
Dentist (General Practice)
69 ALLEN ST STE 7&10
RUTLAND, VT 05701
Rutland County (802) 774-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Deboer's NPI number?

The NPI number for Bradley Deboer is 1013840081. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Bradley Deboer located?

Bradley Deboer practices at 69 Allen St Ste 7&10, Rutland, VT 05701. The listed phone number is (802) 774-5050.

What is Bradley Deboer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bradley Deboer was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.