MEDICARE: DR. BRADLEY D HUDSON DMD

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
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1649359126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY D HUDSON DMD

Provider Business Mailing Address
First Line	:	927 S DURKIN DR
Second Line	:	SUITE B
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-6018
Country	:	US
Telephone Number	:	217-793-1979
Fax Number	:	217-793-3449

Provider Business Practice Location Address
First Line	:	927 S DURKIN DR
Second Line	:	SUITE B
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-6018
Country	:	US
Telephone Number	:	217-793-1979
Fax Number	:	217-793-3449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1730235854 — DR. ROBERT SCOTT BURRIS D.M.D.
Practice Location Address:

927 S DURKIN DR , SUITE A
SPRINGFIELD, IL
62704-6018

Practice Phone: 217-793-0070
Practice Fax: 217-793-0281

1104040385 — MRS. KATHY BUSSA SPATH MS MASTERS OF SCIENC
Practice Location Address:

3040 LINDEN AVE , PLEASANT HILL SCHOOL
SPRINGFIELD, IL
62702-6018

Practice Phone: 217-525-3256
Practice Fax:

1134911126 — JESSICA VAN HORN PA
Practice Location Address:

759 CHESTNUT ST , 2ND FLOOR
SPRINGFIELD, MA
01199-6018

Practice Phone: 413-794-0000
Practice Fax:

1922930304 — DR. AIDAN JAMES CREAMER AUD
Practice Location Address:

901 S 2ND ST STE 201
SPRINGFIELD, IL
62704-7909

Practice Phone: 877-674-1211
Practice Fax:

1700718194 — SPRINGFIELD HAIR RESTORATIONS LLC
Practice Location Address:

2020 W ILES AVE
SPRINGFIELD, IL
62704-4174

Practice Phone: 217-698-3030
Practice Fax:

Directions to “ DR. BRADLEY D HUDSON DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.