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THEODORE L JOHNSON MD
NPI 1831172485
Pediatrics in Bennington, VT

Active since November 28, 2005
194 NORTH STREET, BENNINGTON, VT 05201(802) 442-2264(802) 442-2337 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore L Johnson Md NPPES

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

THEODORE L JOHNSON MD (NPI 1831172485) is an individual pediatrics provider in Bennington, Vermont, licensed in Vermont (0420006640) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1831172485
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHEODORE L JOHNSONCredential: MD
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
Sole ProprietorYes
Enumeration DateNovember 28, 2005
Last NPPES UpdateOctober 3, 2011
✔ NPI 1831172485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VT · 0420006640
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 3

Medicaid0005309VT
Medicare ID-Type UnspecifiedVT5309VT
Medicare UPIND78593

Other Providers at the Same Location NPPES

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

BROOKSIDE PEDIATRICS & ADOLESCENT MEDICINE PLLC
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 Theodore Johnson's NPI number?

The NPI number for Theodore Johnson is 1831172485. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Theodore Johnson located?

Theodore Johnson practices at 194 North Street, Bennington, VT 05201. The listed phone number is (802) 442-2264.

What is Theodore Johnson'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 Theodore Johnson was last updated on October 3, 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.