Anderson, Brad Douglas

Anderson, Brad Douglas is an individual health care provider with primary practice located at 90 Health Park Dr Suite 260, Louisville CO 80027-9757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Brad Douglas can be contacted via phone (303) 673-9090.

Contact Information

Primary practice address
90 Health Park Dr Suite 260 Louisville CO 80027-9757
Fax: (303) 673-9195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37641 Colorado

Profile Details

NPI number 1558362657
LBN Legal business name Anderson, Brad Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 21st, 2021 - about 5 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 1558362657 NPPES
Colorado MEDICAID 50305255

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