MEDICARE: DR. DAVID CONRAD ANDERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0043236	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80151940	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P13160	OTHER	MD	CAREFIRST MPOS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7605-0002	OTHER	MD	CAREFIRST BLUECHOICE
5	525954-02	OTHER	MD	CAREFIRST MD RENDERING
6	0521276	OTHER	MD	AETNA CAPITATED
7	0826714	OTHER	MD	CIGNA PIN
8	242087	OTHER	MD	MAMSI SPECIALIST
9	037532	OTHER	MD	JHHC PROVIDER NUMBER
10	4334366	OTHER	MD	AETNA FEE FOR SERVICE
11	842087	OTHER	MH	MAMSI PRIMARY CARE

General Provider Information

NPI Number	:	1508866336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CONRAD ANDERSON M.D.

Provider Business Mailing Address
First Line	:	2401 BRANDERMILL BLVD
Second Line	:	SUITE 360
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1690
Country	:	US
Telephone Number	:	410-721-9862
Fax Number	:	410-721-9865

Provider Business Practice Location Address
First Line	:	2401 BRANDERMILL BLVD
Second Line	:	SUITE 360
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1690
Country	:	US
Telephone Number	:	410-721-9862
Fax Number	:	410-721-9865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	09/23/2008

Similar Medicare Providers

1023019981 — DR. VICTORIA ANN BOTTONE M.D.
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 360
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-9862
Practice Fax: 410-721-9864

1538152004 — DR. SEJAL G MATTU MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 220
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-7214
Practice Fax: 410-451-7218

1598758054 — DR. RUTH K GALLATIN MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 220
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-7214
Practice Fax: 410-451-7218

1497748800 — DR. DAVID G FREAS MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 250
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-1507
Practice Fax: 410-721-1510

1083607410 — DR. IAN M SHANTZ MD
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 250
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-1507
Practice Fax: 410-721-1510

1760476105 — JACKIE SYME MD
Practice Location Address:

2401 BRANDERMILL BLVD , SITE 301
GAMBRILLS, MD
21054-1690

Practice Phone: 410-451-9064
Practice Fax: 410-451-9065

Directions to “ DR. DAVID CONRAD ANDERSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.