Bradley W Anderson, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2020041089 Issued in MO

Practice address

210 Portland St Ste 100
Columbia, MO 65201-6677

Phone

(573) 777-8818

Fax

(573) 777-8819

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: banderson524617@direct-ehr-ssmhc.com
• FHIR API: https://ff23a4b4-465d-44fa-a7d8-99a59a9660e5.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastrointestinal Associates, LLC

  • Gastroenterology Physician
  • Columbia, MO
  • NPI 1912950585

  Gastroenterology, MO

  Medicare reassignment Care Compare group NPD
• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259

  MO

  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159

  MO

  Medicare reassignment NPD
• General John J Pershing Memorial Hospital Association

  • Primary Care Clinic/Center
  • Brookfield, MO
  • NPI 1982612461

  MO

  Medicare reassignment NPD
• Curators of the University of Missouri

  • Durable Medical Equipment & Medical Supplies
  • Columbia, MO
  • NPI 1356963201
  NPD
• The Curators of the University of Missouri

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1235126921
  NPD
• Columbia Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MO
  • NPI 1528032711
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CH Allied Services, Inc

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844

  Hospital

  Care Compare affiliation

Specialty

Gastroenterology

Education

University of Missouri, Kansas City, School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastrointestinal Associates, LLC 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Procedures performed for Medicare patients

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1649533878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2020041089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jella Angela An, M.D.
• Anjali Patel Anders, M.D.
• Alex James Anderson-Kahl
• Alexander Anderson, M.D.
• Amanda J Anderson, LPC
• Daniel William Anderson
• Devon Anderson
• Ethan Scott Anderson, DO
• Heather Nicole Anderson, M.D.
• Jennifer Anderson, LPC, NCC

• All providers in Columbia, MO
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.