Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY WILLIAM BUCKROP, DPM
ActiveMR. BRADLEY WILLIAM BUCKROP, DPM is a Radiology Podiatrist healthcare provider located in ROCK ISLAND, Illinois. NPI 1558476739 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · ROCK ISLAND, IL
Registration Details
- NPI Number
- 1558476739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (20.010929764881 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
016004658 (IL)00545 (IA)
Practice Information
- Address
-
3727 46TH AVENUE BLACKHAWK RDSTE 103ROCK ISLAND, IL, 612017078Browse IL providers · Browse ZIP 61201
- Phone
- 3097883668
- Fax
- 3097865168
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.