Healthcare Provider Details

I. General information

NPI: 1124091392
Provider Name (Legal Business Name): DAVID L FURMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HOSPITAL DR STE 302
BENNINGTON VT
05201-5018
US

IV. Provider business mailing address

140 HOSPITAL DR STE 302
BENNINGTON VT
05201-5018
US

V. Phone/Fax

Practice location:
  • Phone: 802-447-4555
  • Fax: 802-440-6087
Mailing address:
  • Phone: 802-447-4555
  • Fax: 802-440-6087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101238587
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD453883
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR.0052832
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0077176
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number042.0015110
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: