Dr Bradley C Stufflebam, MD in Centralia, IL - Radiology

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.

Contact Information

	Dr Bradley C Stufflebam, MD
	629 Sable Dr, Centralia, IL 62801-4472
	(618) 533-0727
	Not Available

Physician's Profile

Full Name	Dr Bradley C Stufflebam
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	629 Sable Dr, Centralia, Illinois
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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Radiology Doctors in Centralia, IL

Robert J Killian, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pleasant Ave, Radiology Dept, Centralia, IL 62801
Phone: 618-436-8000

Dr Bradley C Stufflebam, MD - Radiology in Centralia, IL