| Dr Bradley Joseph Budde, MD | |
|
4700 Memorial Dr, Div Wupi Neurosurgery, Ste 230, Belleville, IL 62226-5373 | |
| (618) 212-6620 | |
| (618) 212-6621 |
| Full Name | Dr Bradley Joseph Budde |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 9 Years |
| Location | 4700 Memorial Dr, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952755951 | NPI | - | NPPES |
| 200128175 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036170326 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University Physicians In Illinois, Inc | 4789945163 | 117 |
| Entity Name | Washington University Physicians In Illinois, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Joseph Budde, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (618) 212-6620 | Dr Bradley Joseph Budde, MD 4700 Memorial Dr, Div Wupi Neurosurgery, Ste 230, Belleville, IL 62226-5373 Ph: (618) 212-6620 |
Nicholas E Poulos, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 340 W Lincoln St, Suite 540, Belleville, IL 62220 Phone: 618-222-1341 Fax: 618-222-1487 | |
Christopher Dabney Heffner, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 Memorial Dr, Ste 200, Belleville, IL 62226 Phone: 618-222-9192 Fax: 618-222-9234 |