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BRADLEY W. BUCKROP DPM
NPI 1205071149
Podiatrist - Primary Podiatric Medicine in Rock Island, IL

Active since December 05, 2008
3727 46TH AVE, SUITE 103, ROCK ISLAND, IL 61201(309) 788-3668(309) 786-5168 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley W. Buckrop Dpm NPPES

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

BRADLEY W. BUCKROP DPM (NPI 1205071149) is a healthcare organization registered as a primary podiatric medicine in Rock Island, Illinois and active in the NPI registry since December 2008. The organization lists Bradley William Buckrop, Podiatrist/owner, as its authorized official.

NPPES Registry Identity

NPI1205071149
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameBRADLEY W. BUCKROP DPM
Location Address3727 46TH AVE, SUITE 103Rock Island, IL 61201-7078
Mailing Address3727 46th Ave, Suite 103Rock Island, IL 61201-7078 · (309) 788-3668 · Fax (309) 786-5168
Phone(309) 788-3668
Fax(309) 786-5168
Organization SubpartNo
Authorized OfficialBradley William BuckropPodiatrist/owner · (309) 788-3668
Enumeration DateDecember 5, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1205071149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in IL · 01600458
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 00545 (IA)
3727 46TH AVE, Rock Island, IL 61201
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Other Identifiers 2

Other8182069IL · Blue Cross Blue Shild
Medicaid016004658IL

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

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 Bradley W. Buckrop Dpm's NPI number?

The NPI number for Bradley W. Buckrop Dpm is 1205071149. It was assigned to this organization in the NPPES registry on December 5, 2008.

Where is Bradley W. Buckrop Dpm located?

Bradley W. Buckrop Dpm is located at 3727 46th Ave Suite 103, Rock Island, IL 61201. The listed phone number is (309) 788-3668.

What is Bradley W. Buckrop Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Bradley W. Buckrop Dpm was last updated on March 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.