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 |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 4700 Memorial Dr, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952755951 | NPI | - | NPPES |
200128175 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 036170326 (Illinois) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538100565 PECOS PAC ID: 9830008770 Enrollment ID: O20040301000143 |
Mailing Address | Practice Location Address |
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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 |