Brian Buckrop

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BRIAN BUCKROP

Practice address

2102 47TH St
Moline, IL 61265-3664

Phone

(309) 797-6565

Fax

(309) 797-8586

NPI assigned

Feb 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jane Forest

Title

Insurance Clerk

Phone

(309) 797-6565

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1932378221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 47TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653664",
            "telephone_number": "309-797-6565",
            "fax_number": "309-797-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 47TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653664",
            "telephone_number": "309-797-6565",
            "fax_number": "309-797-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BUCKROP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "309-797-6565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0060101122",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "020217",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braaten Health, LLC
• Stacy L Bramstedt, ARNP
• Emiley Brand, DPT
• Bravard Chiropractic Inc
• Bravo Care of Moline Inc
• Brian J Anseeuw M.D. S.C.
• Enrique M. Bringas, MD
• Amanda Christine Brissman, MSW
• Lisa Renee Britton, PSY.D.
• Anders J Brodd, MD

• Podiatrist in Moline, IL
• Providers in Moline, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.