Individual
DR. BRIAN D BUCKROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016003038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003083
—
IL
01
—
480000194
RAILROAD MEDICARE
IL
Enumeration date
01/25/2006
Last updated
05/12/2016
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