Healthcare Provider Details

I. General information

NPI: 1487067435
Provider Name (Legal Business Name): IRIS CHANDLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2014
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BELMONT AVE STE 1
BRATTLEBORO VT
05301-3498
US

IV. Provider business mailing address

14 MAINE ST
BRUNSWICK ME
04011-2049
US

V. Phone/Fax

Practice location:
  • Phone: 802-257-8222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number042.0019019
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number60500
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: