Organization · NPI-2

Advanced Primary Care PC

Family Medicine · Burlington, VT

NPI number1093657231
StatusActive
Last updated in NPPESApr 7, 2026

Details

NPI
1093657231
Entity type
Organization (NPI-2)
Legal business name
Advanced Primary Care PC
Organization subpart
No
Enumeration date
Apr 7, 2026
Certification date
Apr 7, 2026
Last updated
Apr 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

462 Shelburne Rd Ste 102
Burlington, VT 05401-6947

Phone 802-227-4417

Mailing address

462 Shelburne Rd Ste 102
Burlington, VT 05401-6947

Phone 802-227-4417

Authorized official

Spencer Lee Blackman
President
8022274417

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Burlington, VT