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NPI Code Detail

MEDICARE: BROOKE ELLEN BUDDE DO

MEDICARE: BROOKE ELLEN BUDDE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician5101015257MI
2208000000XPediatrics Physician2010-00706NC

General Provider Information

NPI Number : 1871530360
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ELLEN BUDDE DO
Provider Business Mailing Address
First Line : PO BOX 69
Second Line :
City : MARSHALL
State : NC
Zip : 28753-0069
Country : US
Telephone Number : 828-649-9566
Fax Number :
Provider Business Practice Location Address
First Line : 590 MEDICAL PARK DR
Second Line :
City : MARSHALL
State : NC
Zip : 28753-6807
Country : US
Telephone Number : 828-649-3500
Fax Number : 828-649-1032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 04/16/2025

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Directions to “ BROOKE ELLEN BUDDE DO” Practice Location

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