DR. BRADLEY ALAN ANDERSON (NPI# 1790022382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790022382 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY ALAN ANDERSON |
| Credential | D.C. |
| Practice Address |
3980 S 700 E Ste 23 Salt Lake City UT 84107-2530 |
| Practice Telephone | 8014560350 |
| Practice Fax Number | 8014560351 |
| Mailing Telephone | 8014560350 |
| Mailing Fax Number | 8014560350 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8536046-1202 | UT | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
8536046-1202 | UT | Chiropractic Providers |
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
8536046-1202 | UT | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
8536046-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016319 | Bradley William Anderson | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Fl 3, Tulsa, OK 74127-9023 | 2019-04-08 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 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 |
3980 S 700 E STE 23 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536503 | Jacob Duane Reesor | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2018-01-18 |
| 1770951139 | Health In Motion Chiropractic and Human Performance | Clinic/Center | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2015-09-02 |
| 1508103193 | Salt Lake Sports Chiropractic | Clinic/Center | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098394 | Lindsay Kopp | Chiropractor | 1939 S 1100 E, Salt Lake City, UT 84106-3580 | 2019-02-02 |
| 1740744101 | Drd Enterprises, LLC | Chiropractor | 7186 S Highland Dr Ste 150, Salt Lake City, UT 84121-7324 | 2019-01-29 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1386159663 | Mikel Roy | Chiropractor | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2017-12-07 |
| 1508302225 | Scott Graziosa | Chiropractor | 3160 E Coronet Dr, Salt Lake City, UT 84124-3107 | 2017-01-19 |
| 1245642966 | Yasa LLC | Chiropractor | 5882 S 900 E Ste 100, Salt Lake City, UT 84121-1684 | 2014-05-29 |
| 1962814392 | John Corbaley | Chiropractor | 370 E South Temple Ste 100, Salt Lake City, UT 84111-1240 | 2014-05-20 |
| 1316291966 | Mark Frogley | Chiropractor | 1264 W Village Main Dr, Suite A, Salt Lake City, UT 84119-3396 | 2012-11-05 |
| 1548513088 | Taylor Robert Krick | Chiropractor | 1860 S 300 W, Suite B, Salt Lake City, UT 84115-2085 | 2012-10-22 |
| 1437412624 | Morgan Chiropractic | Chiropractor | 2010 S 1000 E, Salt Lake City, UT 84105-3321 | 2012-06-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on DR. BRADLEY ALAN ANDERSON.
| 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.