Bryan J Anderson MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7735 Issued in ID

Legal business name

BRYAN J ANDERSON MD PC

Practice address

1072 N Liberty St
#201
Boise, ID 83704-8706

Phone

(208) 377-2273

Fax

(208) 367-3059

NPI assigned

Jan 26, 2006

Last updated

Feb 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan J Anderson, MD

Title

President

Phone

(208) 377-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Shauna Williams, M.D.

  • Colon & Rectal Surgery Physician
  • Boise, ID
  • NPI 1821150285
  NPD (past)
• Kenneth Jay Welker, MD

  • Surgery Physician
  • Eugene, OR
  • NPI 1891715678
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1942270251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 N LIBERTY ST",
            "address_2": "#201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048706",
            "telephone_number": "208-377-2273",
            "fax_number": "208-367-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N LIBERTY ST",
            "address_2": "#201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048706",
            "telephone_number": "208-377-2273",
            "fax_number": "208-367-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN J ANDERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-377-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M7735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805476700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Brunner, PT, DPT
• Kattie Lynn Bruno, LMSW
• Scott Brunson, MD
• Nancy A Brus, M.D.
• Bryan C Pogue MD (Selah Medical Center, PA)
• Bryan James Anderson MD PC
• Crystalyn Lou Bryan, NP-C
• Thornton E Bryan III, MD
• Brian Eric Bryant, RN
• Deondre L Bryant, ICADC, SAP

• Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.