Physician Compare National (NPI:1265793640)

HEALTHCARE PROVIDER: BRADLEY B ANDERSON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265793640
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022395797
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170505001239
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANDERSON
	Individual professional last name
Provider First Name	BRADLEY
	Individual professional first name
Provider Middle Name	BARRETT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7744 W WESCOTT DR
	Group Practice or individual's line 1 address
City	GLENDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853086109
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030092
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HONORHEALTH DEER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	030036
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHANDLER REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	030094
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ARROWHEAD HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	030112
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ARIZONA ORTHOPEDIC AND SURGICAL SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1265793640)

HEALTHCARE PROVIDER: BRADLEY B ANDERSON MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information