Dr Bradley C Stufflebam, MD is a
Radiology - Diagnostic Radiology physician based in Centralia, Illinois. Dr Bradley C Stufflebam is licensed to practice in Illinois (license number 036-058847) and his current practice location is 629 Sable Dr, Centralia, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 533-0727.
NPI number for Dr Bradley C Stufflebam is 1275558249 and his current mailing address is 629 Sable Dr, Centralia, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275558249.
Physician's Profile
Full Name | Dr Bradley C Stufflebam |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 629 Sable Dr, Centralia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275558249
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Bradley C Stufflebam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275558249 | NPI | - | NPPES |
036-058847 | Other | IL | STATE LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 036-058847 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley C Stufflebam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bradley C Stufflebam, MD 629 Sable Dr, Centralia, IL 62801-4472 Ph: (618) 533-0727 | Dr Bradley C Stufflebam, MD 629 Sable Dr, Centralia, IL 62801-4472 Ph: (618) 533-0727 |
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