BRAD DOUGLAS ANDERSON (NPI# 1558362657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558362657 |
| Entity Type | Individual |
| Full Name | BRAD DOUGLAS ANDERSON |
| Credential | MD |
| Practice Address |
90 Health Park Dr Suite 260 Louisville CO 80027-9757 |
| Mailing Address |
7233 Church Ranch Blvd Westminster CO 80021-4094 |
| Practice Telephone | 3036739090 |
| Practice Fax Number | 3036739195 |
| Mailing Telephone | 3039254940 |
| Mailing Fax Number | 3039254941 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37641 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 50305255 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245541861 | Brad Charles Anderson | Occupational Therapist | 1296 N Chester Ave, Pasadena, CA 91104-2947 | 2010-06-29 |
| 1255766242 | Brad Anderson | Counselor | 21260 N. 1450 E., Moroni, UT 84646-0383 | 2013-09-09 |
| 1508042920 | Brad Charles Anderson | Counselor | 212 I St., Davis, CA 95616 | 2008-01-16 |
| 1245411693 | Brad Anderson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-11-14 |
| 1245323724 | Brad M Anderson | Family Medicine | 3550 N Interstate Ave, Portland, OR 97227-1097 | 2006-10-02 |
| 1295757516 | Brad Anderson | Emergency Medicine | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-07-24 |
| 1649298381 | Brad C Anderson | Podiatrist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-18 |
| 1861450090 | Brad Lee Anderson | Clinical Neuropsychologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-05-04 |
| Street Address |
90 HEALTH PARK DR SUITE 260 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195780 | Lauren Mrkva | Nurse Practitioner | 90 Health Park Dr, #170, Louisville, CO 80027-9757 | 2017-03-20 |
| 1043661226 | Gemma Stella | Nurse Practitioner | 90 Health Park Dr, Ste 350, Louisville, CO 80027-9757 | 2016-06-28 |
| 1881051035 | Elizabeth M Kilmer-sterling | Advanced Practice Midwife | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2016-01-19 |
| 1730503350 | Columbine & Flatirons Dermatology Associates | Dermatology | 90 Health Park Dr, Suite 390, Louisville, CO 80027-9757 | 2014-02-18 |
| 1790107373 | Flatiron Allergy & Asthma Center | Allergy & Immunology | 90 Health Park Dr, 170, Louisville, CO 80027-9757 | 2014-01-15 |
| 1104160589 | Stephanie Rae Traver | Nurse Practitioner | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-11-25 |
| 1952666422 | Kirigin Elstad Watkins | Obstetrics & Gynecology | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-07-10 |
| 1740552199 | Portercare Adventist Health System | Internal Medicine | 90 Health Park Dr, Suite 190, Louisville, CO 80027-9757 | 2012-02-01 |
| 1396061438 | Amy Elizabeth Morin | Nurse Practitioner | 90 Health Park Dr, Suite #320, Louisville, CO 80027-9757 | 2010-04-14 |
| 1720222813 | Babak Robert Moini | Internal Medicine | 90 Health Park Dr, Ste 350a, Louisville, CO 80027-9757 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1770939043 | Rss Inc Dba Mediweightloss | Family Medicine | 166 N Hurstbourne Pkwy, Louisville, KY 40222-5108 | 2016-05-05 |
| 1104280379 | Jonathan Paul Newsom | Family Medicine | 2401 Terra Crossing Blvd Ste 101, Louisville, KY 40245-5371 | 2016-04-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
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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.