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RED BUD PHYSICIAN GROUP LLC
NPI 1053619148
Emergency Medicine in Red Bud, IL

Active since March 14, 2011
325 SPRING STREET, RED BUD, IL 62278(618) 282-3831 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Red Bud Physician Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED BUD PHYSICIAN GROUP LLC (NPI 1053619148) is a healthcare organization registered as an emergency medicine in Red Bud, Illinois and active in the NPI registry since March 2011. The organization lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1053619148
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameRED BUD PHYSICIAN GROUP LLC
Location Address325 SPRING STREETRed Bud, IL 62278-1105
Mailing Address325 Spring StreetRed Bud, IL 62278-1105 · (618) 282-3831
Phone(618) 282-3831
Organization SubpartNo
Authorized OfficialLaura J FeySr. Director Physician Rev Cycle · (615) 221-3641
Enumeration DateMarch 14, 2011
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1053619148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
325 SPRING STREET, Red Bud, IL 62278
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMBER L HARRIMAN PA
Physician Assistant
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MRS. MARY O WUNDERLICH PA
Physician Assistant
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MRS. DANIELLE A TURNER APN
Nurse Practitioner
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MR. ZIYA BAGHMANLI M.D.
Surgery
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MRS. CHARMAINE E EDWARDS M.D.
Internal Medicine (Gastroenterology)
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Bud Physician Group LLC's NPI number?

The NPI number for Red Bud Physician Group LLC is 1053619148. It was assigned to this organization in the NPPES registry on March 14, 2011.

Where is Red Bud Physician Group LLC located?

Red Bud Physician Group LLC is located at 325 Spring Street, Red Bud, IL 62278. The listed phone number is (618) 282-3831.

What is Red Bud Physician Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Red Bud Physician Group LLC was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.