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Dr. Thomas G Bolduc , MD

Pediatrics β€’ Milton, VT

Active NPI 1487628608 Individual Practitioner Male Practitioner
Practice location in NPPES

11 Haydenberry Dr Unit 103
Milton, VT 054682200

Call 8028931200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11 Haydenberry Dr Unit 103

Milton, VT 054682200

Telephone 8028931200
Organization at the Same NPPES Address or Phone
Adult Medicine Partners - Vermont Facility NPI 1154838126

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in South Burlington, VT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Milton and Vermont

6 active clinicians are listed under Pediatrics with a practice address in Milton, VT (181 in Vermont).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Vermont State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8364523 (WA)
Medicaid ID
299829 (OR)
Medicaid ID
1022471 (VT)
Other Identifier Medical License
0420012746 (VT)
Other Identifier L&i
172210 (WA)
Other Identifier Rail Road Medicare
P00018622 (WA)

Secondary Practice Locations

51 Timber Ln

South Burlington, VT 054035201

Phone: 8028640521

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 22, 2021

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

πŸ“
Updated Business Mailing Address March 21, 2019

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

βœ…
NPI Profile Active October 22, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2013

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

πŸ“
Business Mailing Address (Initial Record) October 22, 2013

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

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2013

Recorded as THOMAS BOLDUC, M.D.

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

Pediatrics (license number reported to NPPES: VT 0420012746)

🟒
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.