Bradley Myren Anderson (NPI# 1548258221, PAC ID# 5597749762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1548258221 |
| PAC ID by PECOS | 5597749762 |
| Professional Enrollment ID | I20040615001429 |
| Full Name | Bradley Myren Anderson |
| Organization Legal Name | ST CLOUD EYE CLINIC PA |
| Address |
2055 N 15th St Saint Cloud MN 56303-1747 |
| Phone Number | 3202511432 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8325022577 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241366 | MEEKER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2055 N 15th St, Saint Cloud, MN 56303-1747 | 3202511432 | ST CLOUD EYE CLINIC PA |
| Organization Legal Name | ST CLOUD EYE CLINIC PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel William Nelson | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Richard William Lucius | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Derek J Bonacci | Optometry | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Mitchell D Harstad | Optometry | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Steven William Rice | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Street Address |
2055 N 15TH ST |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel William Nelson | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Richard William Lucius | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Keith D Schreffler | Chiropractic | 2055 N 15th St, Suite 201, Arlington, VA 22201-2680 | |
| Derek J Bonacci | Optometry | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Mitchell D Harstad | Optometry | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Matthew E Kelly | Chiropractic | Keith Schreffler Dc, LLC. | 2055 N 15th St, Suite 201, Arlington, VA 22201-2680 |
| Steven William Rice | Ophthalmology | St Cloud Eye Clinic Pa | 2055 N 15th St, Saint Cloud, MN 56303-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SAINT CLOUD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Bradley Myren 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.