HomeNPI Verification

NPI Verification

National Provider Identifier: 1053403105

Bradley W Anderson, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

1111 EMERALD BAY RD

SOUTH LAKE TAHOE, CA 961506207

Phone: 530-543-5659

NPI Enumeration Date

September 28, 2006

NPI Number

1053403105

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry