Healthcare Provider Details

I. General information

NPI: 1316815798
Provider Name (Legal Business Name): ROADSAFE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 WALLOOMSAC RD
BENNINGTON VT
05201-9707
US

IV. Provider business mailing address

491 DERMODY RD
BENNINGTON VT
05201-9799
US

V. Phone/Fax

Practice location:
  • Phone: 802-379-8899
  • Fax: 802-440-0496
Mailing address:
  • Phone: 802-379-8899
  • Fax: 802-440-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK ZIMPFER
Title or Position: OWNER
Credential: MD
Phone: 802-379-8899