DR. BRADLEY C STUFFLEBAM M.D.
NPI 1275558249
Radiology - Diagnostic Radiology in Centralia, IL

Active since July 12, 2006
629 SABLE DR, CENTRALIA, IL 62801(618) 533-0727 Get Directions Write a Review

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

About Dr. Bradley C Stufflebam M.d. NPPES

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

DR. BRADLEY C STUFFLEBAM M.D. (NPI 1275558249) is an individual diagnostic radiology provider in Centralia, Illinois, licensed in Illinois (036-058847) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275558249
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BRADLEY C STUFFLEBAMCredential: M.D.
Location Address629 SABLE DRCentralia, IL 62801-4472
Mailing Address629 Sable DrCentralia, IL 62801-4472 · (618) 533-0727
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1275558249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036-058847
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
629 SABLE DR, Centralia, IL 62801

Other Identifiers 1

Other036-058847IL · State License #

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%179 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%135 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
629 SABLE DR
CENTRALIA, IL 62801

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 Stufflebam's NPI number?

The NPI number for Bradley Stufflebam is 1275558249. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Bradley Stufflebam located?

Bradley Stufflebam practices at 629 Sable Dr, Centralia, IL 62801. The listed phone number is (618) 533-0727.

What is Bradley Stufflebam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Bradley Stufflebam 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.