OrganizationActive
Red Bud Physician Group LLC
NPI 1053619148 · Emergency Medicine Physician · Red Bud, IL
Provider details
- NPI number
- 1053619148
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Fey, Sr. Director Physician Rev Cycle(615) 221-3641
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
325 Spring Street
Red Bud, IL 62278-1105
Phone: (618) 282-3831
Street-level locationGet directions
Mailing address
325 Spring Street
Red Bud, IL 62278-1105
Registry dates
- Enumerated
- 2011-03-14
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.