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Mr. Buddy Wayne Lile, M.D.

Psychiatry Physician in New Brighton, MN · enumerated 2006 · practices at Avalon Programs, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104858612

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Registry record

Entity type Individual (Type 1)
Name Mr. Buddy Wayne Lile
Credential M.D.
Sex Male
Practice address 550 Main Street, Suite 230, New Brighton, MN, 55112
Phone (612) 326-7558
Fax (612) 454-2087
Enumeration date Jul 7, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 042-0010705 (VT) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 49329 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
042-0010705 Other VT VERMONT STATE LICENSE
1010386 Medicaid MN -
1010386 Medicaid VT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Buddy Lile?
The National Provider Identifier (NPI) for Buddy Lile is 1104858612, a Type 1 (individual) record in the CMS NPPES registry.
Where does Buddy Lile practice?
The practice location on file with NPPES is in New Brighton, MN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.