Individual
DR. BRADLEY JOSEPH BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR, DIV WUPI NEUROSURGERY, STE 230, BELLEVILLE, IL 62226-5373
(618) 212-6620
(618) 212-6621
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 212-6620
(618) 212-6621
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036170326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200128175
—
MO
Enumeration date
04/16/2016
Last updated
04/21/2025
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