Dr BRADLEY W ANDERSON MD is a male medical professional, specializing in Urology. He graduated in 1990 from University Of Oklahoma College Of Medicine.
TAHOE CARSON VALLEY MEDICAL GROUP INC
2169 S AVE
SOUTH LAKE TAHOE
CA
961507059
Tel: 5305435815
| Npi | 1053403105 |
| Pac Id | 5092772376 |
| Professional Enrollment Id | I20140403001541 |
| Last Name | ANDERSON |
| First Name | BRADLEY |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Group Practice Pac Id | 8426048158 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 2169 S AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 961507059 |
| Phone Number | 5305435815 |
| Hospital Affiliation Ccn 1 | 430077 |
| Hospital Affiliation Lbn 1 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 050352 |
| Hospital Affiliation Lbn 2 | BARTON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 431321 |
| Hospital Affiliation Lbn 3 | REGIONAL HEALTH STURGIS HOSPITAL |
| Hospital Affiliation Ccn 4 | 430048 |
| Hospital Affiliation Lbn 4 | REGIONAL HEALTH SPEARFISH HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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