| Dr Bradley W Anderson, MD | |
|
2169 South Ave, South Lake Tahoe, CA 96150-7059 | |
| (530) 543-5400 | |
| (530) 544-1959 |
| Full Name | Dr Bradley W Anderson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 35 Years |
| Location | 2169 South Ave, South Lake Tahoe, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053403105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | C127871 (California) | Primary |
| 208800000X | Urology | 15032 (Nevada) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Monument Health Sturgis Hospital | Sturgis, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Rapid City Hospital Inc | 6002729506 | 488 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley W Anderson, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr Bradley W Anderson, MD 2169 South Ave, South Lake Tahoe, CA 96150-7059 Ph: (530) 543-5400 |
Miriam Locke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2169 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5400 | |
Brian L Steixner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2169 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5400 |