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BRADLEY JOSEPH VANDER ZANDEN DO, PA-C
NPI 1780121939
Student in an Organized Health Care Education/Training Program in Fort Hood, TX

Active since January 26, 2017PECOS Enrolled
36065 SANTE FE AVENUE, FORT HOOD, TX 76544(254) 288-8000 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Mar 10, 2022, Jan 26, 2017 (3 updates tracked since 2017).

About Bradley Joseph Vander Zanden Do, Pa-c NPPES

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

BRADLEY JOSEPH VANDER ZANDEN DO, PA-C (NPI 1780121939) is an individual student in an organized health care education/training program in Fort Hood, Texas, licensed in Texas (BP10091435) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780121939
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY JOSEPH VANDER ZANDENCredential: DO, PA-C
Location Address36065 SANTE FE AVENUEFort Hood, TX 76544
Mailing Address590 Medical Center RoadFort Cavazos, TX 76544-5060 · (920) 202-2048
Phone(254) 288-8000
Sole ProprietorNo
Enumeration DateJanuary 26, 2017
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1780121939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10091435
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA13661 (TX)
36065 SANTE FE AVENUE, Fort Hood, TX 76544
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Joseph Vander Zanden Do, Pa-c 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.

Other Providers at the Same Location NPPES 2

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

MRS. MONIQUE NORIEGA LVN
Licensed Vocational Nurse
36065 SANTE FE AVENUE
FORT HOOD, TX 76544
Bell County (254) 553-5627
SHAWN CHERI JENNEY LVN
Licensed Vocational Nurse
36065 SANTE FE AVENUE
FORT HOOD, TX 76544
Bell County (254) 553-8110

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 Vander Zanden's NPI number?

The NPI number for Bradley Vander Zanden is 1780121939. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Bradley Vander Zanden located?

Bradley Vander Zanden practices at 36065 Sante Fe Avenue, Fort Hood, TX 76544. The listed phone number is (254) 288-8000.

What is Bradley Vander Zanden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bradley Vander Zanden enrolled in Medicare?

Yes. Bradley Vander Zanden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Vander Zanden was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.