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BORDER PEDIATRICS
NPI 1750483780
Pediatrics - Adolescent Medicine in Derby Line, VT

Active since September 01, 2006
159 MAIN ST, DERBY LINE, VT 05830(802) 873-3009(802) 873-3176 Get Directions Write a Review

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

About Border Pediatrics NPPES

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

BORDER PEDIATRICS (NPI 1750483780), doing business as Border Health Center, is a healthcare organization registered as an adolescent medicine in Derby Line, Vermont and active in the NPI registry since September 2006. The organization lists Miriam Blodgett Tatum, President, as its authorized official.

NPPES Registry Identity

NPI1750483780
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBORDER PEDIATRICS
Location Address159 MAIN STDerby Line, VT 05830-8754
Mailing Address159 Main StDerby Line, VT 05830-8754 · (802) 873-3009 · Fax (802) 873-3176
Phone(802) 873-3009
Fax(802) 873-3176
Organization SubpartNo
Authorized OfficialMiriam Blodgett TatumPresident · (802) 873-3009
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 4, 2013
✔ NPI 1750483780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in VT · 042-0008370
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 042-0008363 (VT)
159 MAIN ST, Derby Line, VT 05830
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Other Names 1

Former Legal Business NameBorder Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Border Pediatrics's NPI number?

The NPI number for Border Pediatrics is 1750483780. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider was formerly known as Border Health Center.

Where is Border Pediatrics located?

Border Pediatrics is located at 159 Main St, Derby Line, VT 05830. The listed phone number is (802) 873-3009.

What is Border Pediatrics's specialty?

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

When was this NPI record last updated?

The NPPES record for Border Pediatrics was last updated on January 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.