MEDICARE: JOHN R. BUDDEN, M.D. APMC

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	207X00000X	Orthopaedic Surgery Physician	MD.016582	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	435828255A	OTHER	LA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1861468910	OTHER	LA	INDIVIDUAL NPI NUMBER

General Provider Information

NPI Number	:	1871719823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN R. BUDDEN, M.D. APMC

Provider Business Mailing Address
First Line	:	1103 KALISTE SALOOM RD
Second Line	:	SUITE 310
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-5783
Country	:	US
Telephone Number	:	337-289-9212
Fax Number	:	337-289-5964

Provider Business Practice Location Address
First Line	:	2625 NORTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4042
Country	:	US
Telephone Number	:	337-289-9212
Fax Number	:	337-289-5964

Authorized Official
Title or Position	:	PRESIDENT, OWNER
Name	:	DR. JOHN ROWLAND BUDDEN
Credential	:	M.D.
Telephone Number	:	337-289-9212

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/13/2013

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