Individual
BRADLEY ALAN BERRYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 ROUTE 30 N, CASTLETON FAMILY HEALTH CENTER, BOMOSEEN, VT 05732-9647
(802) 468-5641
(802) 468-2923
Mailing address
71 ALLEN ST, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420010165
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03588158
—
NY
05
—
OVN2516
—
VT
Enumeration date
07/16/2006
Last updated
01/30/2024
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