Individual
BRADLEY T. ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5615
(951) 697-5687
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5615
(951) 697-5687
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A89184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780782557
SITE NPI
CA
01
—
ZZZ31887Z
BILLING LOCATION
CA
Enumeration date
05/11/2006
Last updated
04/10/2025
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