# MAPLE RUN PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053288209
- **Authorized official:** DR. BRIAN L RODRIGUEZ MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (802) 477-2707

## Contact information

- **Practice address:** 134 MAIN ST, MONTPELIER, VT 05602-2913
- **Practice address phone:** (802) 341-8775
- **Practice address fax:** (844) 689-3199
- **Mailing address:** 134 MAIN ST, MONTPELIER, VT 05602-2913
- **Mailing address phone:** (802) 341-8775
- **Mailing address fax:** (844) 689-3199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2025
- **Last updated:** 11/04/2025