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BEVERLY S BUCKELEW RT (R)(M)(CT)
NPI 1124203617
Radiologic Technologist - Mammography in Poplar Bluff, MO

Active since January 03, 2008
3015 WOLF RUN, POPLAR BLUFF, MO 63901(573) 714-3650 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly S Buckelew Rt (r)(m)(ct) NPPES

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

BEVERLY S BUCKELEW RT (R)(M)(CT) (NPI 1124203617) is an individual mammography provider in Poplar Bluff, Missouri and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1124203617
Entity TypeIndividualFemale
Primary Taxonomy2471M2300X
Provider Legal NameBEVERLY S BUCKELEWCredential: RT (R)(M)(CT)
Location Address3015 WOLF RUNPoplar Bluff, MO 63901-9366
Mailing Address3015 Wolf RunPoplar Bluff, MO 63901-9366 · (573) 714-3650
Phone(573) 714-3650
Sole ProprietorNo
Enumeration DateJanuary 3, 2008
✔ NPI 1124203617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · MammographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471M2300X
Definition
A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.
3015 WOLF RUN, Poplar Bluff, MO 63901
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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 Beverly Buckelew's NPI number?

The NPI number for Beverly Buckelew is 1124203617. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Beverly Buckelew located?

Beverly Buckelew practices at 3015 Wolf Run, Poplar Bluff, MO 63901. The listed phone number is (573) 714-3650.

What is Beverly Buckelew's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Mammography, with taxonomy code 2471M2300X.

When was this NPI record last updated?

The NPPES record for Beverly Buckelew was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.