Jesse Tao Buedefeldt-Pollard, M.D.

Obstetrics Physician · Springfield, IL

Individual Active NPI

NPI number 1669768644

Practice location

421 N 9TH St Bldg Q
Springfield, IL 62702-5317
Phone
(217) 545-8000

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NPI record

NPI
1669768644
Entity type
Individual (Type 1)
Enumeration date
June 28, 2011
Last updated
November 20, 2025
Certified
November 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Obstetrics Physician Primary 207VX0000X 036140756 IL
Obstetrics & Gynecology Physician 207V00000X MD171594 OR

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone
(217) 545-8000
Fax
(844) 470-2486

Other practice locations (1)

  • 415 N 9th St, Suite 6W100, Springfield, IL 62702-5303 · (217) 545-8000

About Dr. Buedefeldt-Pollard

Jesse Tao Buedefeldt-Pollard, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Obstetrics Physician (code 207VX0000X). The practice location is 421 N 9TH St Bldg Q, Springfield, IL 62702-5317. The NPI number 1669768644 was assigned on June 28, 2011 and the record was last updated on November 20, 2025.

Dr. Buedefeldt-Pollard lists 2 licenses in the registry: #036140756 (IL) for Obstetrics Physician; #MD171594 (OR) for Obstetrics & Gynecology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse Tao Buedefeldt-Pollard, M.D.?

The NPI number is 1669768644.

What is the phone number of Dr. Buedefeldt-Pollard?

The phone number listed for the practice location is (217) 545-8000.

Where is Dr. Buedefeldt-Pollard located?

421 N 9TH St Bldg Q, Springfield, IL 62702-5317.

What is the taxonomy code for Dr. Buedefeldt-Pollard?

The primary taxonomy code is 207VX0000X – Obstetrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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