JULIA BUDDENDORFF (MD) – Emergency Medicine Physician, NPI 1336726793

JULIA BUDDENDORFF (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 99157 (GA). The NPI Number for JULIA BUDDENDORFF (MD) is 1336726793

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JULIA BUDDENDORFF (MD)
NPI
1336726793
Phone
(904) 244-3817
Address
655 W 8TH ST # C506
Enumeration Date
24 March 2021
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042593151
Graduation Year
2021 (5 years ago)
PAC ID
3375945413
Group Practice PAC ID
7719326248
Professional Enrollment ID
I20240515004565
Address ID
FL320632103MA159XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for JULIA BUDDENDORFF (MD)

  • 655 W 8TH ST # C506

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3817

    Fax: (904) 244-5848

    Type: Mailing

  • 655 W 8th St

    Jacksonville, FL 322096511

    Phone: (904) 244-3817

    Type: Location

  • 655 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3817

    Type: Location

  • 800 PRUDENTIAL DR

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-1784

    Fax: (904) 202-1356

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: BTG International, Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BTG International, Inc.$112
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515004565IEmergency MedicineFLTBD
I20240523002259IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719326248View full group profile
NameSpecialtyState
General Practice, Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineGA
Emergency Medicine, Preventive MedicineAL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineMD

Reviews

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Frequently asked questions

Is JULIA BUDDENDORFF (MD) listed with a National Provider Identifier?
Yes — JULIA BUDDENDORFF (MD) has NPI 1336726793 on file in the registry.
Would JULIA BUDDENDORFF (MD) appear as active to a payer?
You can treat JULIA BUDDENDORFF (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JULIA BUDDENDORFF (MD)?
JULIA BUDDENDORFF (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is JULIA BUDDENDORFF (MD) registered?
Use Jacksonville, Florida as the headline location for JULIA BUDDENDORFF (MD) here.
When was this NPI issued?
Enumeration for JULIA BUDDENDORFF (MD) is noted as March 24, 2021 where the registry provides it.

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