Bradley Wayne Anderson, MD - Pediatrics in Provo, UT

Bradley Wayne Anderson, MD is a Pediatrics physician based in Provo, Utah. Bradley Wayne Anderson is licensed to practice in Utah (license number 5579883-1205) and his current practice location is 1355 N University Ave, #210, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 373-8930.

NPI number for Bradley Wayne Anderson is 1124086186 and his current mailing address is 1355 N University Ave, #210, Provo, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124086186.

Contact Information

Bradley Wayne Anderson, MD
1355 N University Ave, #210,
Provo, UT 84604-2721
(801) 373-8930
(801) 377-6811



Physician's Profile

Full NameBradley Wayne Anderson
GenderMale
SpecialityPediatrics
Location1355 N University Ave, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124086186
  • Provider Enumeration Date: 05/01/2006
  • Last Update Date: 10/26/2011

Medical Identifiers

Medical identifiers for Bradley Wayne Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124086186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 5579883-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Wayne Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradley Wayne Anderson, MD
1355 N University Ave, #210,
Provo, UT 84604-2721

Ph: () -
Bradley Wayne Anderson, MD
1355 N University Ave, #210,
Provo, UT 84604-2721

Ph: (801) 373-8930

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› Verified 1 days ago


Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606
Phone: 801-344-4311    Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604
Phone: 801-377-8000    
Jordan Gaudio, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-1700    
Danielle Elise Smith, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-8411    
Dr. Chuanchau Jerry Jou, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604
Phone: 385-477-6800    Fax: 385-477-6801
Leslie Mark Lang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7707    

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