Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brookside Pediatrics & Adolescent Medicine Pllc

Pediatrics Physician in Bennington, VT · enumerated 2006 · authorized official Theodore Johnson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568578656

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Registry record

Entity type Organization (Type 2)

Legal business name Brookside Pediatrics & Adolescent Medicine Pllc

Practice address 194 North Street, Bennington, VT, 05201

Phone (802) 442-2264

Fax (802) 442-2337

Enumeration date Aug 22, 2006

Last updated in NPPES Oct 4, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Theodore Johnson

Title Owner

Phone (802) 442-2264

Other identifiers

Identifier	Type	State	Issuer
1007123	Medicaid	VT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Brookside Pediatrics & Adolescent Medicine Pllc located?

The practice location on file with NPPES is in Bennington, VT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-10-04. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Theodore Johnson Pediatrics Physician · Bennington, VT NPI 1831172485

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-04.