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Virginia C. Brack, MD

NPI 1205821220ActiveIndividual· Pediatrics· Lebanon, NH

Pediatrics (MD) in Lebanon, New Hampshire, licensed in VT, with an NPI issued in September 2005.

Overview

NPI1205821220
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedSep 15, 2005
Last updated in NPPESApr 26, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X042-0010058VT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Lebanon

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