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Active NPI 1487628608 Individual Practitioner Male Practitioner

Dr. Thomas G Bolduc , MD

Pediatrics • Milton, VT

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bolduc, MD is a registered healthcare professional specializing in Pediatrics in Milton, VT. Practice services are available at 11 HAYDENBERRY DR UNIT 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11 Haydenberry Dr Unit 103

Milton, VT 054682200

Telephone 8028931200
Associated Practice Facility / Clinic
🏢 Primary Care Health Partners Facility NPI 1235195454

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Milton, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Milton, VT (186 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VT 0420012746

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA MD00042058

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8364523 (WA)
Medicaid State Provider ID
299829 (OR)
Medicaid State Provider ID
1022471 (VT)
Commercial Insurance / Payer ID Medical License
0420012746 (VT)
Commercial Insurance / Payer ID L&i
172210 (WA)
Commercial Insurance / Payer ID Rail Road Medicare
P00018622 (WA)

Secondary Practice Locations

51 Timber Ln

South Burlington, VT 054035201

Phone: 8028640521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kari Mckinley , APRN

Nurse Practitioner - Pediatrics

NPI 1225477615

Advanced Practice Registered Nurse

Whitney Sevey

Pediatrics

NPI 1225532781
NPI 1548295892

Doctor of Medicine (M.D.)

NPI 1588989016

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 22, 2021

Registered at 11 HAYDENBERRY DR UNIT 103, MILTON, VT 054682200 (Tel: 8028931200)

📍
Updated Business Mailing Address March 21, 2019

Registered at 66 KNIGHT LN STE 10, WILLISTON, VT 054959308 (Tel: 8028724343)

NPI Profile Active October 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2013

Registered at 51 TIMBER LN, SOUTH BURLINGTON, VT 054035201 (Tel: 8028640521)

📍
Updated Business Mailing Address October 22, 2013

Registered at 600 BLAIR PARK RD, SUITE 190, WILLISTON, VT 054957586 (Tel: 8028724343)

👤
Provider Name / Credentials Updated October 22, 2013

Recorded as THOMAS BOLDUC, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2013

Pediatrics (License #0420012746 in VT)

🟢
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487628608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: March 22, 2021
Sole Proprietor: No

Mailing Address

66 Knight Ln Ste 10

Williston, VT 054959308

Phone: 8028724343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.