Anderson, Brad C

Anderson, Brad C is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Anderson, Brad C can be contacted via phone (701) 234-8720.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-8720
Fax: (701) 234-8779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 673 Minnesota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 46 North Dakota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 46 North Dakota

Profile Details

NPI number 1649298381
LBN Legal business name Anderson, Brad C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649298381 NPPES
North Dakota MEDICAID 11706

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