BRADLEY WILLIAM ANDERSON (NPI# 1477016319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477016319 |
Entity Type | Individual |
Full Name | BRADLEY WILLIAM ANDERSON |
Credential | DO |
Practice Address |
717 S Houston Ave Fl 3 Tulsa OK 74127-9023 |
Practice Telephone | 9183823535 |
Mailing Telephone | 4177937391 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
1952664260 | Bradley Anderson | Internal Medicine | 1025 E 3300 S Ste B, Salt Lake City, UT 84106 | 2012-06-21 |
1174758361 | Bradley Jon Anderson | Dentist | 4521 38th Ave S, Fargo, ND 58104-8507 | 2009-05-18 |
1184880635 | Bradley Richard Anderson | Occupational Therapist | 609 Arbor Ct, Highland Village, TX 75077-7569 | 2008-08-04 |
1720265820 | Bradley Richard Anderson | Dentist | 11420 W Broad Street, Glen Allen, VA 23060 | 2008-01-31 |
1023058757 | Bradley Todd Anderson | Family Medicine | 28622 E 141st St S, Coweta, OK 74429-7515 | 2006-06-08 |
1528459633 | Bradley Anderson | Physical Therapist | 75 Minges Creek Pl, Battle Creek, MI 49015-4201 | 2015-02-11 |
1356769137 | Bradley Troy Anderson | Pediatrics | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2014-03-31 |
1649533878 | Bradley W Anderson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2012-06-22 |
Street Address |
717 S HOUSTON AVE FL 3 |
City | TULSA |
State | OK |
Zip Code | 74127-9023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
Find all providers in zip 74127 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
1003423369 | Armin Kalantari | Student in an Organized Health Care Education/Training Program | 7310 E 92nd St, Tulsa, OK 74133-6039 | 2020-09-29 |
1437766268 | Abigail Roberts | Student in an Organized Health Care Education/Training Program | 2657 S Oswego Pl, Tulsa, OK 74114-4719 | 2020-09-25 |
1275149577 | Jesse Taylor Strong | Student in an Organized Health Care Education/Training Program | 50 S Florence Ave, Tulsa, OK 74104-1714 | 2020-09-22 |
1376159632 | Nisha Rajagopal | Student in an Organized Health Care Education/Training Program | 6152 S Richmond Ave, Tulsa, OK 74136-1613 | 2020-09-21 |
1386250728 | Magera Shaw | Student in an Organized Health Care Education/Training Program | 1436 S Darlington Ave, Tulsa, OK 74112-6314 | 2020-09-21 |
1811503261 | Bridgette Molenda | Student in an Organized Health Care Education/Training Program | 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 | 2020-09-21 |
1922613777 | Anna Claire Shadid | Student in an Organized Health Care Education/Training Program | 2122 E 47th Pl, Tulsa, OK 74105-4922 | 2020-09-09 |
1316552169 | Laura Warning | Student in an Organized Health Care Education/Training Program | 412 S Olympia Ave, Tulsa, OK 74127-8825 | 2020-09-09 |
1487269239 | James Maxwell Cox | Student in an Organized Health Care Education/Training Program | 4507 S Madison Pl, Tulsa, OK 74105-4564 | 2020-09-09 |
Find all providers in TULSA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.