MR. BRADLEY WILLIAM BUCKROP DPM
NPI 1558476739
Podiatrist - Primary Podiatric Medicine in Rock Island, IL

Q: What is Bradley Buckrop's NPI number?

The NPI number for Bradley Buckrop is 1558476739. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Bradley Buckrop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Buckrop 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.

Active since August 20, 2006

3727 46TH AVENUE BLACKHAWK RD, STE 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: October 04, 2026.

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About Mr. Bradley William Buckrop Dpm NPPES

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

MR. BRADLEY WILLIAM BUCKROP DPM (NPI 1558476739) is an individual primary podiatric medicine provider in Rock Island, Illinois, licensed in Illinois (016004658) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558476739

Entity TypeIndividualMale

Primary Taxonomy213EP1101X

Provider Legal NameMR. BRADLEY WILLIAM BUCKROPCredential: DPM

Location Address3727 46TH AVENUE BLACKHAWK RD, STE 103Rock Island, IL 61201-7078

Mailing Address3727 46th Ave, Ste 103Rock Island, IL 61201-7078 · (309) 788-3668 · Fax (309) 786-5168

Phone(309) 788-3668

Fax(309) 786-5168

Sole ProprietorNo

Enumeration DateAugust 20, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1558476739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

Licenses✔ Licensed in IL · 016004658✔ Licensed in IA · 00545

3727 46TH AVENUE BLACKHAWK RD, Rock Island, IL 61201

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Other Identifiers 5

OtherIL0101IL · John Deere Health

Other8182069IL · Bcbs

Other00545IA · Iowa Dept Of Public Hlth

Medicaid016004658IL

Other480024844Jurisdiction B Dme Mac

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 Buckrop's NPI number?

The NPI number for Bradley Buckrop is 1558476739. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Bradley Buckrop located?

Bradley Buckrop practices at 3727 46th Avenue Blackhawk Rd Ste 103, Rock Island, IL 61201. The listed phone number is (309) 788-3668.

What is Bradley Buckrop'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 Buckrop 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.