BRADLEY TODD ANDERSON (NPI# 1023058757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023058757 |
| Entity Type | Individual |
| Full Name | BRADLEY TODD ANDERSON |
| Credential | DO |
| Practice Address |
28622 E 141st St S Coweta OK 74429-7515 |
| Mailing Address |
28622 E 141st St S Po Box 1030 Coweta OK 74429-7515 |
| Practice Telephone | 9184867425 |
| Practice Fax Number | 9182796884 |
| Mailing Telephone | 9184867425 |
| Mailing Fax Number | 9182796884 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3893 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100126410A | 05 |
| 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 |
| 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 |
| 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 |
28622 E 141ST ST S |
| City | COWETA |
| State | OK |
| Zip Code | 74429-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265588024 | Burleene Mosburg | Physician Assistant | 28622 E 141st St S, Coweta, OK 74429-7515 | 2007-01-26 |
| 1104997436 | Jeffery Allen Barentine | Physician Assistant | 28622 E 141st St S, Coweta, OK 74429-7515 | 2006-11-10 |
| 1770676280 | Laren W Hightower | Family Medicine | 28622 E 141st St S, Coweta, OK 74429-7515 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990867 | Leslie Ann Kolmer | Nurse Practitioner | 31870 Ok-51, Coweta, OK 74429 | 2020-07-24 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1275184657 | Deborah Smith | Technician | 15124 South 241st East Avenue, Coweta, OK 74429 | 2019-09-26 |
| 1457820813 | Jennifer Jean Biffle | Speech-Language Pathologist | 14504 S 302nd E Ave, Coweta, OK 74429 | 2018-11-15 |
| 1942718499 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 607 S. Broadway Street, Coweta, OK 74429 | 2018-01-18 |
| 1437519428 | Advanced Chiropractic & Health | Chiropractor | 30091 E State Hwy 51, Coweta, OK 74429 | 2016-03-03 |
| 1558732867 | Alyssa Barron | Pharmacist | 11207 S. Highway 51, Coweta, OK 74429 | 2015-10-13 |
| 1184005415 | Abigail Carnes | Physical Therapist | 12641 S Hwy 51, Coweta, OK 74429 | 2015-06-11 |
| 1407235039 | Rebecca Vieth | Speech-Language Pathologist | 26954 E 131st St S, Coweta, OK 74429 | 2015-05-28 |
| Find all providers in zip 74429 | ||||
| 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 |
|---|---|---|---|---|
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1063445930 | Lawrence E Vark | Family Medicine | 31870 E. Hwy 51, Coweta, OK 74429 | 2006-07-07 |
| 1700878378 | Jack Stephen Aldridge | Family Medicine | 30011 E State Highway 51, Coweta, OK 74429-7681 | 2005-08-18 |
| 1730620766 | Kathleen Mary Mcgovern | Family Medicine | 30011 E State Highway 51, Coweta, OK 74429-7681 | 2017-03-09 |
| 1194165258 | Amanda Rene Reed | Family Medicine | 31870 E. Hwy 51, Coweta, OK 74429 | 2013-07-03 |
| 1821376138 | Kellie Dawn Vantuyl | Family Medicine | 30011 E State Highway 51, Coweta, OK 74429-7681 | 2011-08-03 |
| 1972788867 | Winn Family Practice, Plp | Family Medicine | 607 S Broadway, Coweta, OK 74429-5000 | 2008-01-09 |
| 1093994352 | Dr. Jerry A. Nelms D.o. | Family Medicine | 607 S Broadway, Coweta, OK 74429-5000 | 2007-11-02 |
| 1124189469 | Bret A Hubbard | Family Medicine | 607 S Broadway, Coweta, OK 74429-5000 | 2006-12-12 |
| 1770676280 | Laren W Hightower | Family Medicine | 28622 E 141st St S, Coweta, OK 74429-7515 | 2006-10-02 |
| Find all providers in COWETA | ||||
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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.