DR. BRIAN D BUCKROP DPM NPI 1982674677

NPI Information

NPI: 1982674677
Provider Name: DR. BRIAN D BUCKROP, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
2102 47TH ST
MOLINE, IL
ZIP 61265
Phone: (309) 797-6565
Get Directions

DR. Brian D Buckrop, DPM is a foot surgery podiatrist in Moline, IL. DR. Brian D Buckrop, DPM NPI is 1982674677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2102 47TH ST
MOLINE, IL
ZIP 61265-664
Phone: (309) 797-6565
Fax: (309) 797-8586

The NPI 1982674677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/25/2006 and was last updated on 5/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	016003038	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016003083	MEDICAID	ILLINOIS
2	T37368	MEDICARE UPIN	ILLINOIS
3	0339770001	MEDICARE NSC	ILLINOIS
4	480000194	OTHER	ILLINOIS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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