DR. BRYAN GEOFFREY ANDERSON (NPI# 1760820989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760820989 |
| Entity Type | Individual |
| Full Name | DR. BRYAN GEOFFREY ANDERSON |
| Credential | D.O. |
| Practice Address |
7219 N Litchfield Rd 56 Amds (bldg 810) Luke Afb AZ 85309-1529 |
| Mailing Address |
239 S 172nd Dr Goodyear AZ 85338-6059 |
| Practice Telephone | 6238567527 |
| Mailing Telephone | 9048878871 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2015-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 006519 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1578828224 | Bryan Robert Anderson | Internal Medicine | 18503 Gaylord Rd., Redford, MI 48240 | 2012-07-09 |
| 1841371457 | Bryan A. Anderson | Dentist | 104 2nd Ave Se, Waseca, MN 56093-3041 | 2006-10-18 |
| 1598749236 | Bryan K Anderson | Ophthalmology | 1565 Ebenezer Road, Rock Hill, SC 29732 | 2005-12-06 |
| 1386634392 | Bryan D Anderson | Dentist | 2807 S Stone St, Suite 102, Spokane, WA 99223-4904 | 2005-10-21 |
| 1184197147 | Bryan Anderson | Specialist/Technologist, Other | 700 Us Highway 46 Ste 420, Fairfield, NJ 07004-1532 | 2019-01-02 |
| 1831661388 | Bryan Thomas Anderson | Nurse Practitioner | 1601 W 11th Pl, Big Spring, TX 79720-4114 | 2018-12-21 |
| 1902336498 | Bryan Geoffrey Anderson | Social Worker | 1247 7th St Ste 202, Santa Monica, CA 90401-1643 | 2017-06-15 |
| 1023410248 | Bryan V. Anderson | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-0001 | 2014-09-18 |
| 1023417581 | Bryan D Anderson | Physician Assistant | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2014-08-20 |
| Street Address |
7219 N LITCHFIELD RD 56 AMDS (BLDG 810) |
| City | LUKE AFB |
| State | AZ |
| Zip Code | 85309-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281203 | Scott Joseph Lafont | Dentist | 7219 N Litchfield Rd, Dental Clinic, Luke Afb, AZ 85309-1529 | 2005-08-09 |
| 1184262347 | Denise Renee Covert | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2019-12-18 |
| 1790279685 | Tyler John Gale | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2018-06-14 |
| 1679091706 | Patrick Andrew Stockton | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-09-09 |
| 1417483074 | Matthew Collins | Military Health Care Provider | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-05-02 |
| 1235672114 | Noah Russell | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-11-28 |
| 1811340565 | Collin Urbanowicz | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-07-18 |
| 1972986909 | Kristin Haskell | Advanced Practice Midwife | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2015-07-08 |
| 1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
| 1154665990 | Kellie Casero | Student in an Organized Health Care Education/Training Program | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2012-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
| 1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
| 1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
| 1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
| 1679676571 | Anita Glenn-reller | Counselor | 317 Lightning Ave, Luke Afb, AZ 85309 | 2006-09-06 |
| 1346784881 | Kaleigh Moses | Registered Nurse | 13960 W Eagle St, Luke Air Force Base, AZ 85309-1426 | 2016-12-16 |
| 1376893511 | Melissa Ann Parra | Dentist | 7219 N Litchfield Rd., 56th Medical Group, Luke Afb, AZ 85309-1525 | 2012-09-14 |
| Find all providers in zip 85309 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.