Provider Demographics
NPI:1508839945
Name:BARRETTE, BRIGITTE A (MD)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:A
Last Name:BARRETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:UNIVERSITY OF VERMONT MEDICAL CENTER
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-1400
Mailing Address - Fax:802-847-8433
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:UNIVERSITY OF VERMONT MEDICAL CENTER
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-1400
Practice Address - Fax:802-847-8433
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35248207VG0400X
VT042.0007477207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN120325800Medicaid
F28643Medicare UPIN