PAUL GREGORY BOERMAN DDS
NPI 1104830512
Dentist - Oral and Maxillofacial Surgery in South Burlington, VT
About Paul Gregory Boerman Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL GREGORY BOERMAN DDS (NPI 1104830512) is an individual oral and maxillofacial surgery provider in South Burlington, Vermont, licensed in Vermont (0160000990) and active in the NPI registry since July 2006. He has opted out of Medicare through October 1, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Paul Gregory Boerman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BURLINGTON, VT 05403
SOUTH BRIGHTON, VT 05403
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 Paul Boerman's NPI number?
The NPI number for Paul Boerman is 1104830512. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Paul Boerman located?
Paul Boerman practices at 44 Timber Lane, South Burlington, VT 05403. The listed phone number is (802) 860-6725.
What is Paul Boerman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Paul Boerman enrolled in Medicare?
No. Paul Boerman has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Paul Boerman accept?
Health plans from Anthem Blue Cross and Blue Shield list Paul Boerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Paul Boerman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Paul Gregory Boerman, DDS · NPI 1104830512
Oral and Maxillofacial Surgery provider in South Burlington, Vermont. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1104830512 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 0160000990 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 44 TIMBER LANE, South Burlington, VT 05403-7282
- **Phone:** (802) 860-6725 · **Fax:** (802) 864-1511
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN U10327; Other 102V101 (VT); Other 8309 (VT); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104830512) · Data from the CMS NPPES public registry.