Bradley Anderson, MD
Bradley Anderson, MD is an Urology Physician in South Lake Tahoe, CA, registered under NPI 1053403105.
Getting there
The practice address on file is 2169 SOUTH AVE, South Lake Tahoe, CA 96150. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C127871 | CA | Urology Physician primary |
| 15032 | NV | Urology Physician |
Licences are recorded in 2 states: CA, NV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Urology
- PAC ID
- 5092772376
Medicare enrolment is recorded as approved under the provider type Practitioner - Urology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Nevada. The practice address on file is in South Lake Tahoe, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Urology covers
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208800000X | Urology Physician | C127871 | CA | primary |
| 208800000X | Urology Physician | 15032 | NV |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053403105 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 28, 2006 |
| Last updated | Jul 16, 2014 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2169 SOUTH AVE South Lake Tahoe, CA 96150 (530) 543-5400 Fax (530) 544-1959 |
| Mailing address |
1111 EMERALD BAY RD South Lake Tahoe, CA 96150 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 4 | 0 | 3 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 8 | 0 | 6 | 1 | 0 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.