Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY WAYNE ANDERSON, M.D.

Active

BRADLEY WAYNE ANDERSON, M.D. is a Pediatrics healthcare provider located in PROVO, Utah. NPI 1124086186 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · PROVO, UT

Registration Details

NPI Number: 1124086186
Provider Type: Individual
Gender: Male
NPI Issued: May 1, 2006 (20.243633455881 yrs)
Last Updated: Oct 26, 2011
License: 5579883-1205 (UT)

Practice Information

Address: 1355 N UNIVERSITY AVE

#210

PROVO, UT, 846042721
Browse UT providers · Browse ZIP 84604
Phone: 8013738930
Fax: 8013776811
Primary Specialty: Pediatrics
208000000X

Other Pediatrics Providers in PROVO, UT

Name	Credential	NPI
DR. DAVID RUBIN SANDWEISS	MD	1437151875
DR. RICHARD WESLEY LATER	M.D.	1962476002
RONALD C JONES	MD	1245290295
MR. KENNETH A ZOLLO	MD	1770545931
CHRISTIAN YANEZ HERRERA	MD	1740243971
ROSS MITCHELL ADAMS	M.D.	1912965138

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.