Bradley T Anderson (NPI# 1023058757, PAC ID# 2062403371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023058757 |
| PAC ID by PECOS | 2062403371 |
| Professional Enrollment ID | I20040524000871 |
| Full Name | Bradley T Anderson |
| Organization Legal Name | COWETA MEDICAL GROUP PLLC |
| Address |
28622 E 141st S St Coweta OK 74429-7515 |
| Phone Number | 9184867425 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466501069 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| Address | Phone | Organization |
|---|---|---|
| 28622 E 141st S St, Coweta, OK 74429-7515 | 9184867425 | COWETA MEDICAL GROUP PLLC |
| Organization Legal Name | COWETA MEDICAL GROUP PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery A Barentine | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Jennifer L Rau | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Burleene Mosburg | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Lesley J Smith | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Laren W Hightower | Family Practice | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Street Address |
28622 E 141ST S ST |
| City | COWETA |
| State | OK |
| Zip | 74429-7515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery A Barentine | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Jennifer L Rau | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Burleene Mosburg | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Lesley J Smith | Physician Assistant | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Laren W Hightower | Family Practice | Coweta Medical Group Pllc | 28622 E 141st S St, Coweta, OK 74429-7515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis W Tillman | Chiropractic | 29692 E Hwy 51, Coweta, OK 74429 | |
| Martina Swoboda-wiedel | Clinical Social Worker | 324 E Chestnut St, Coweta, OK 74429-2532 | |
| Louis L King | Optometry | 308 N Broadway, Coweta, OK 74429-2604 | |
| Abigail Carnes | Physical Therapy | Redbud Physical Therapy LLC | 12641 S Hwy 51, Coweta, OK 74429-6476 |
| Robert James Mckinney | Chiropractic | 13831 S State Hwy 51, Coweta, OK 74429-7103 | |
| Sabra J Rhodes | Chiropractic | 14130 S State Hwy 51, Coweta, OK 74429-7675 | |
| Amanda R Reed | Emergency Medicine | Creek Nation Hospital and Clinics | 31870 E Hwy 51, Koweta Indian Health Facility, Coweta, OK 74429-7900 |
| Delana D Westman-berry | Physical Therapy | Creek Nation Hospital and Clinics | 31870 E Hwy 51, Koweta Indian Health Facility, Coweta, OK 74429-7900 |
| Aliyeah Ayadpoor | Family Medicine | Creek Nation Hospital and Clinics | 31870 E Hwy 51, Koweta Indian Health Facility, Coweta, OK 74429-7900 |
| Brandi L Johnson | Optometry | Creek Nation Hospital and Clinics | 31870 E Hwy 51, Koweta Indian Health Facility, Coweta, OK 74429-7900 |
| Find all physicians in zip 74429 | |||
| City | COWETA |
| Zip Code | 74429 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COWETA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bradley T Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.