Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braden Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336776517

Braden Anderson is a Diagnostic Radiology in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5841 S Maryland Ave # 2026
Chicago, IL 60637-1443
Phone: (773) 702-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125076843 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336776517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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