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

Dr. Bradley W Anderson, MD

Individual provider Urology Physician · NPI 1053403105

Dr. Bradley W Anderson, MD is an Urology in South Lake Tahoe, California. Graduated from University of Oklahoma College of Medicine in 1990, 36 years ago. Practices with Monument Health Network Inc, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
36
Trained at
University of Oklahoma College of Medicine
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2169 S Ave
South Lake Tahoe, CA 96150-7059
Phone: (530) 543-5400
Fax: (530) 544-1959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence C127871 (CA)
Urology Physician Taxonomy 208800000X · Licence 15032 (NV)

Record details

NPI number1053403105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 16, 2014

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Monument Health Network Inc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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