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

Cameron Bradley Waller, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700346830

Cameron Bradley Waller, DO is an Anesthesiology in Evansville, Indiana. Qualified in 2019, 7 years ago. Practices with Deaconess Hospital, Inc, a 414-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 Mary St
Evansville, IN 47747-1972
Phone: (812) 450-2240
Fax: (812) 450-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 02006682A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700346830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2019
Last updated in NPPESAugust 16, 2023
Certification dateAugust 14, 2023
Mailing addressPo Box 3366, Evansville, IN 47732-3366

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Deaconess Hospital, Inc. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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