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MAPLE RUN PRIMARY CARE PLLC
NPI 1053288209
Family Medicine in Montpelier, VT

Active since October 22, 2025CLIA 47D2331242 · Waiver
134 MAIN ST, MONTPELIER, VT 05602(802) 341-8775(844) 689-3199 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Run Primary Care Pllc NPPES

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

MAPLE RUN PRIMARY CARE PLLC (NPI 1053288209) is a healthcare organization registered as a family medicine in Montpelier, Vermont and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Brian L Rodriguez, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1053288209
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAPLE RUN PRIMARY CARE PLLC
Location Address134 MAIN STMontpelier, VT 05602-2913
Mailing Address134 Main StMontpelier, VT 05602-2913 · (802) 341-8775 · Fax (844) 689-3199
Phone(802) 341-8775
Fax(844) 689-3199
Organization SubpartNo
Authorized OfficialBrian L RodriguezPhysician/owner · (802) 477-2707
Enumeration DateOctober 22, 2025
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1053288209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
134 MAIN ST, Montpelier, VT 05602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2331242

Maple Run Primary Care · Montpelier, VT
Active · expires Sep 28, 2027
CLIA Number47D2331242
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorBrian Rodriguez
Laboratory Phone(802) 341-8775
Laboratory LocationMaple Run Primary Care134 Main St, Montpelier, VT 05602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Maple Run Primary Care PLLC's NPI number?

The NPI number for Maple Run Primary Care PLLC is 1053288209. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Maple Run Primary Care PLLC located?

Maple Run Primary Care PLLC is located at 134 Main St, Montpelier, VT 05602. The listed phone number is (802) 341-8775.

What is Maple Run Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Maple Run Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2331242) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maple Run Primary Care PLLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.