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

Individual provider Pediatrics Physician · NPI 1831172485

Theodore L Johnson, MD is a Pediatrics Physician in Bennington, Vermont. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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 · Licence 0420006640 (VT)

Record details

NPI number1831172485
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 28, 2005
Last updated in NPPESOctober 3, 2011
Mailing address194 North Street, Bennington, VT 05201

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