Provider Demographics
NPI:1427324433
Name:BUEGE, ROBERT CALEB (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CALEB
Last Name:BUEGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 CEDAR GROVE RD STE 20
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-8592
Mailing Address - Country:US
Mailing Address - Phone:502-215-5090
Mailing Address - Fax:
Practice Address - Street 1:1707 CEDAR GROVE RD STE 20
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-8592
Practice Address - Country:US
Practice Address - Phone:502-215-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY47693208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics