BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
NPI 1568578656
Pediatrics in Bennington, VT

Q: What is Brookside Pediatrics & Adolescent Medicine PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 22, 2006

194 NORTH STREET, BENNINGTON, VT 05201(802) 442-2264(802) 442-2337 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brookside Pediatrics & Adolescent Medicine Pllc NPPES

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

BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC (NPI 1568578656) is a healthcare organization registered as a pediatrics in Bennington, Vermont and active in the NPI registry since August 2006. The organization lists Theodore L Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1568578656

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC

Location Address194 NORTH STREETBennington, VT 05201

Mailing Address194 North StreetBennington, VT 05201 · (802) 442-2264 · Fax (802) 442-2337

Phone(802) 442-2264

Fax(802) 442-2337

Organization SubpartNo

Authorized OfficialTheodore L JohnsonOwner · (802) 442-2264

Enumeration DateAugust 22, 2006

Last NPPES UpdateOctober 4, 2011

✔ NPI 1568578656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

194 NORTH STREET, Bennington, VT 05201

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Other Identifiers 1

Medicaid1007123VT

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

Other Providers at the Same Location NPPES

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

THEODORE L JOHNSON MD

Pediatrics

194 NORTH STREET
BENNINGTON, VT 05201

Bennington County (802) 442-2264

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 Brookside Pediatrics & Adolescent Medicine PLLC's NPI number?

The NPI number for Brookside Pediatrics & Adolescent Medicine PLLC is 1568578656. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Brookside Pediatrics & Adolescent Medicine PLLC located?

Brookside Pediatrics & Adolescent Medicine PLLC is located at 194 North Street, Bennington, VT 05201. The listed phone number is (802) 442-2264.

What is Brookside Pediatrics & Adolescent Medicine PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Brookside Pediatrics & Adolescent Medicine PLLC was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.