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 | 34 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 | 431 |
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: Medicare Enrolled 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 |