Bradley Troy Anderson, MD | |
19245 7th Ave Ne, Poulsbo, WA 98370-6551 | |
(360) 782-3500 | |
(360) 782-3540 |
Full Name | Bradley Troy Anderson |
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Gender | Male |
Speciality | Pediatrics |
Location | 19245 7th Ave Ne, Poulsbo, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356769137 | NPI | - | NPPES |
2080651 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60746859 (Washington) | Primary |
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Bradley Troy Anderson, MD 9621 Ridgetop Blvd Nw, Silverdale, WA 98383-8502 Ph: (360) 782-3600 | Bradley Troy Anderson, MD 19245 7th Ave Ne, Poulsbo, WA 98370-6551 Ph: (360) 782-3500 |
John Joseph Corrales-diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 Fax: 360-782-3540 | |
Dr. Katie Ellgass, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22180 Olympic College Way Nw, Poulsbo, WA 98370 Phone: 360-626-4031 | |
Dr. Emily Cecile Macdonald, DO, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22180 Olympic College Way Nw, Suite 203, Sound Pediatrics, Poulsbo, WA 98370 Phone: 360-626-4031 Fax: 360-626-4037 | |
Dr. Violeta Mercedes Gomez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19540 Front St Ne, Poulsbo, WA 98370 Phone: 564-218-6135 | |
Wendy Zeeben Hawley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne, #208, Poulsbo, WA 98370 Phone: 360-779-7337 Fax: 360-779-7054 | |
Bernie Jay Brown, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne, #208, Poulsbo, WA 98370 Phone: 360-779-7337 Fax: 360-779-7054 |