Bradley W. Buckrop Dpm

LBN: Bradley W. Buckrop Dpm
Bradley W. Buckrop Dpm is an health care organization with primary practice located at 3727 46Th Ave Suite 103, Rock Island IL 61201-7078. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty. Bradley W. Buckrop Dpm can be contacted via phone (309) 788-3668, or through Buckrop, Bradley William via phone (309) 788-3668.

Contact Information

Primary practice address
3727 46Th Ave Suite 103 Rock Island IL 61201-7078
Phone: (309) 788-3668
Fax: (309) 786-5168
Website:
Map and Directions
Authorized official contact:
Name: Buckrop, Bradley William Doctor of Podiatric Medicine (DPM)
Phone: (309) 788-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 01600458 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00545 Iowa

Profile Details

NPI number 1205071149
LBN Legal business name Bradley W. Buckrop Dpm
DBA Doing business as
Authorized official Buckrop, Bradley William Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2008
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205071149 NPPES
Illinois Other 8182069 BLUE CROSS BLUE SHILD
Illinois MEDICAID 016004658 BLUE CROSS BLUE SHILD

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