Organization Active NPI

Bradford Anderson MD Inc a Professional Corporation

  • Rehabilitation Hospital
  • Bakersfield, CA
National Provider Identifier
1609113869
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
G60265 Issued in CA
Legal business name
BRADFORD ANDERSON MD INC A PROFESSIONAL CORPORATION
Practice address
2121 17TH St Ste a
Bakersfield, CA 93301-3704
Phone
(661) 616-5726
Fax
(661) 664-0188
NPI assigned
Jan 8, 2013
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradford Alexis AndersonNPI 1891806832
Title
Ceo/President
Phone
(661) 616-5726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X G60265 CA Primary

Addresses

Primary practice location

2121 17TH St Ste a
Bakersfield, CA 93301-3704

Mailing address

2121 17TH St Ste a
Bakersfield, CA 93301-3704
Phone (661) 616-5726

Other identifiers 1

IdentifierTypeStateIssuer
1891806832OtherCANPI 1891806832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130122000069 CA Part B Supplier - Clinic/Group Practice 1557514718 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

8701 Camino Media
Ste C
Bakersfield, CA 93311
Phone (661) 616-5726

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8135/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1609113869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 17TH ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013704",
            "telephone_number": "661-616-5726",
            "fax_number": "661-664-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 17TH ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013704",
            "telephone_number": "661-616-5726",
            "fax_number": "661-664-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD ANDERSON MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "661-616-5726"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "G60265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  1891806832",
            "identifier": "1891806832",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.