Bradley Alan Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8536046-1202 Issued in UT

Practice address

3980 S 700 E Ste 23
Salt Lake City, UT 84107-2530

Phone

(801) 456-0350

Fax

(801) 456-0351

NPI assigned

Jan 15, 2013

Last updated

Jan 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Salt Lake Sports Chiropractic

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1508103193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1790022382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 S 700 E STE 23",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072530",
            "telephone_number": "801-456-0350",
            "fax_number": "801-456-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 S 700 E STE 23",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072530",
            "telephone_number": "801-456-0350",
            "fax_number": "801-456-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8536046-1202",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "8536046-1202",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "UT",
            "license": "8536046-1202",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "8536046-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anderson
• Bailee Marie Anderson
• Blane Evan Paul Anderson
• Bonnie Mintz Anderson, APRN
• Bradley Anderson, M.D.
• Brennen Keith Anderson, MD
• Briawna Aika Anderson
• Brydon Anderson, RN
• Brynley Anderson
• Bryson Wells Anderson

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.