Individual provider · Type 1 NPI

Bradley John Anderson, MD, MS

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1043086614 Active · reactivated May 15, 2025

Practice location

177 Fort Washington Ave
New York, NY 10032-3733

Call (917) 658-5878 Map

Mailing address

63 W 104th St Apt 202
New York, NY 10025-4363

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043086614

Bradley John Anderson, MD, MS's National Provider Identifier is 1043086614, issued on Nov 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 24, 2025.