Individual
BRADFORD R EGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
108 W MAIN ST, DWIGHT, IL 60420
(815) 584-9000
(815) 584-2261
Mailing address
108 W MAIN ST, DWIGHT, IL 60420
(815) 584-9000
(815) 584-2261
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004698
—
IL
01
—
051005617
BCBS AL
AL
01
—
051005618
BCBS AL
AL
01
—
051005619
BCBS AL
AL
01
—
051538406
BCBS AL
AL
01
—
051548831
BCBS AL
AL
01
—
059202011
BCBS AL
AL
01
—
65410
BCBS FLORIDA
FL
01
—
P00463492
RAILROAD MEDICARE
AL
Enumeration date
08/22/2006
Last updated
04/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us