DR. GREGORY CONNOLLY MD
NPI 1366641086
Pediatrics - Adolescent Medicine in Burlington, VT

Active since July 12, 2007
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401(802) 860-1928(802) 860-0192 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Connolly Md NPPES

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

DR. GREGORY CONNOLLY MD (NPI 1366641086) is an individual adolescent medicine provider in Burlington, Vermont, licensed in Vermont (042-0011956) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1366641086
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. GREGORY CONNOLLYCredential: MD
Location Address128 LAKESIDE AVE, SUITE 115Burlington, VT 05401-4939
Mailing Address128 Lakeside Ave, Suite 115Burlington, VT 05401-4939 · (802) 860-1928 · Fax (802) 860-0192
Fax(802) 860-0192
Sole ProprietorNo
Enumeration DateJuly 12, 2007
Last NPPES UpdateOctober 4, 2013
NPI 1366641086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in VT · 042-0011956
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
128 LAKESIDE AVE, Burlington, VT 05401

Other Identifiers 1

Medicaid1017604VT

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Registered Nurse
128 LAKESIDE AVE
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Non-Pharmacy Dispensing Site
128 LAKESIDE AVE, STE 301
BURLINGTON, VT 05401
Dietitian, Registered (Nutrition, Metabolic)
128 LAKESIDE AVE
BURLINGTON, VT 05401

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 Gregory Connolly's NPI number?

The NPI number for Gregory Connolly is 1366641086. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Gregory Connolly located?

Gregory Connolly practices at 128 Lakeside Ave Suite 115, Burlington, VT 05401. The listed phone number is (802) 860-1928.

What is Gregory Connolly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Gregory Connolly accept?

Health plans from Anthem Blue Cross and Blue Shield list Gregory Connolly 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 Gregory Connolly was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.