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NPI Code Detail

MEDICARE: BRADFORD W BUEGE DO

MEDICARE: BRADFORD W BUEGE 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
1207P00000XEmergency Medicine Physician271874NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083698658
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADFORD W BUEGE DO
Provider Business Mailing Address
First Line : 189 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1104
Country : US
Telephone Number : 716-793-2203
Fax Number : 716-326-3811
Provider Business Practice Location Address
First Line : 189 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1104
Country : US
Telephone Number : 716-793-2203
Fax Number : 716-326-3811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 09/05/2013

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Directions to “ BRADFORD W BUEGE DO” Practice Location

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