Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY W ANDERSON, MD
ActiveDR. BRADLEY W ANDERSON, MD is a Urology healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1053403105 is currently active in the NPPES registry. Verify at CMS.
Urology · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1053403105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.894367113117 yrs)
- Last Updated
- Jul 16, 2014
- Licenses
-
C127871 (CA)15032 (NV)
Practice Information
- Address
-
2169 SOUTH AVESOUTH LAKE TAHOE, CA, 961507059Browse CA providers · Browse ZIP 96150
- Phone
- 5305435400
- Fax
- 5305441959
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| BRIAN L STEIXNER | MD | 1801952213 |
| MIRIAM LOCKE | MD | 1225455157 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.