IndividualActive
Jonathan Bjork, D.P.M.
NPI 1639514722 · Foot & Ankle Surgery Podiatrist · Randolph, VT
Provider details
- NPI number
- 1639514722
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 056.0000187 (VT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
44 S Main St
Randolph, VT 05060-1381
Phone: (802) 728-7000
Approximate (ZIP-level) locationGet directions
Mailing address
44 S Main St
Randolph, VT 05060-1381
Registry dates
- Enumerated
- 2013-05-03
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.