Bradford W Buege, DO
Individual provider Active NPI Emergency Medicine Physician · Westfield, NY
NPI 1083698658 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1083698658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 271874 (NY)
- Practice address
- 189 E Main St
Westfield, NY 14787-1104 - Phone
- (716) 793-2203
- Fax
- (716) 326-3811
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- American Current Care of Minnesota PC
Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
10190 Baltimore St NE
Suite 100
Blaine, MN 55449-6046
Phone (763) 780-8264
326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200
4080 W Broadway Ave
Suite 200
Robbinsdale, MN 55422-5606
Phone (763) 398-8888
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250219001473 | MN | Practitioner - Osteopathic Manipulative Medicine | 7214825702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271874 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Minnesota PC | Current |
Accepting new patients | |
| Hospital Health Care Inc. | Family Medicine | Past | Accepting new patients |
| Saint Vincent Medical Education and Research Institute | Family Medicine | Past | Accepting new patients |
Locations
10190 Baltimore St NE
Ste 100
Blaine, MN 55449
Phone (763) 780-8264
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 271874 | NY | Yes |
Addresses
Primary practice location
189 E Main St
Westfield, NY 14787-1104
Mailing address
189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2203
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02672631 | Medicaid | NY |
Other providers in Westfield, NY
- Robert Berke
- Laura Anita Berneski
- John Bielinski Jr.
- Donald Patrick Brady II
- Donald Frank Brautigam
- Ian JD Caisley
- Care Center Inc.
- Amy Clute
- Community Radiology, PLLC
- Compassion at Home
All providers in Westfield, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.