# DR. JEFFREY ALAN MCFADDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487678652
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02002556A | IN | — |
| 207Q00000X | Family Medicine Physician | 036104766 | IL | — |
| 207Q00000X | Family Medicine Physician | 200701218 | NC | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 05/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02002556A | STATE LICENSE NUMBER | IN |
| 01 | — | 02002556B | STATE CONTROLLED LIC | IN |
| 01 | — | 036104766 | STATE LICENSE NUMBER | IL |
| 01 | — | 147HR | BCBS OF NC | NC |
| 01 | — | 336090764 | STATE CONTROLLED LICENSE | IL |
| 05 | — | 5907839 | — | NC |
| 01 | — | 812085 | PARTNERS/BLUE MEDICARE | NC |