DR. BRADLEY JON ANDERSON D.D.S
NPI 1174758361
Dentist - General Practice in Fargo, ND

Q: What is Bradley Anderson's NPI number?

The NPI number for Bradley Anderson is 1174758361. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Q: What is Bradley Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Anderson was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2009PECOS Enrolled

4521 38TH AVE S, FARGO, ND 58104(701) 232-1368(701) 232-4746 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bradley Jon Anderson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY JON ANDERSON D.D.S (NPI 1174758361) is an individual general practice provider in Fargo, North Dakota, licensed in North Dakota (2045) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174758361

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY JON ANDERSONCredential: D.D.S

Location Address4521 38TH AVE SFargo, ND 58104-8507

Mailing Address4521 38th Ave SFargo, ND 58104-8507 · (701) 232-1368 · Fax (701) 232-4746

Phone(701) 232-1368

Fax(701) 232-4746

Sole ProprietorYes

Enumeration DateMay 18, 2009

✔ NPI 1174758361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ND · 2045

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4521 38TH AVE S, Fargo, ND 58104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Jon Anderson D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN CAIN DDS

Dentist

4521 38TH AVE S
FARGO, ND 58104

Cass County (701) 232-1368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Anderson's NPI number?

The NPI number for Bradley Anderson is 1174758361. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Bradley Anderson located?

Bradley Anderson practices at 4521 38th Ave S, Fargo, ND 58104. The listed phone number is (701) 232-1368.

What is Bradley Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bradley Anderson enrolled in Medicare?

Yes. Bradley Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Bradley Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Minnesota and Humana list Bradley Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Anderson was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.