BRADLEY CHARLES BANDERA MD
NPI 1427205681
Surgery - Surgical Oncology in Santa Monica, CA

Active since August 19, 2008
2200 SANTA MONICA BLVD, JOHN WAYNE CANCER INSTITUTE, SANTA MONICA, CA 90404(310) 449-5249 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2018, Jan 19, 2016, Dec 15, 2015 and 2 more (5 updates tracked since 2015).

About Bradley Charles Bandera Md NPPES

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

BRADLEY CHARLES BANDERA MD (NPI 1427205681) is an individual surgical oncology provider in Santa Monica, California, licensed in California (A135798) and active in the NPI registry since August 2008. He maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1427205681
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameBRADLEY CHARLES BANDERACredential: MD
Location Address2200 SANTA MONICA BLVD, JOHN WAYNE CANCER INSTITUTESanta Monica, CA 90404
Mailing Address2200 Santa Monica Blvd, John Wayne Cancer InstituteSanta Monica, CA 90404 · (310) 449-5249
Sole ProprietorNo
Enumeration DateAugust 19, 2008
Last NPPES UpdateNovember 29, 20185 updates tracked since enumeration
NPI 1427205681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in CA · A135798
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 61600 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 61600 (GA)
2200 SANTA MONICA BLVD, Santa Monica, CA 90404

Secondary Practice Location 1

Location 13647 J Dewey Gray Cir Ste 200Augusta, GA 30909-2205 · Phone (706) 504-9712 · Fax (706) 504-9703

Other Identifiers 3

Medicaid200619660AOK
Medicaid201124040AKS
Medicaid1427205681MO

Other Providers at the Same Location NPPES 8

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

Neurological Surgery
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Otolaryngology
2200 SANTA MONICA BLVD, 112
SANTA MONICA, CA 90404
Surgery (Surgical Oncology)
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery (Surgical Oncology)
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery (Surgical Oncology)
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery (Surgical Oncology)
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery
2200 SANTA MONICA BLVD
SANTA MONICA, CA 90404

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 Bandera's NPI number?

The NPI number for Bradley Bandera is 1427205681. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Bradley Bandera located?

Bradley Bandera practices at 2200 Santa Monica Blvd John Wayne Cancer Institute, Santa Monica, CA 90404. The listed phone number is (310) 449-5249.

What is Bradley Bandera's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for Bradley Bandera was last updated on November 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.