Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brookside Pediatrics & Adolescent Medicine PLLC

Organization Pediatrics Physician · NPI 1568578656

Brookside Pediatrics & Adolescent Medicine PLLC is a Pediatrics Physician in Bennington, Vermont. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

194 N St
Bennington, VT 05201
Phone: (802) 442-2264
Fax: (802) 442-2337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1568578656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Johnson — Owner · (802) 442-2264
NPI enumeratedAugust 22, 2006
Last updated in NPPESOctober 4, 2011
Mailing address194 North Street, Bennington, VT 05201

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