Bradley W. Anderson, MD
NPI 1053403105ActiveIndividual· Urology· South Lake Tahoe, CA
Urology (MD) in South Lake Tahoe, California, trained at University of Oklahoma College of Medicine (class of 1990). 129 Medicare patients in 2024, $19,618 paid; nearly all of their 422 Part D prescriptions were generic (95%). Valencia Technologies Corporation reported $27.25 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1053403105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Jul 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | C127871 | CA |
| Urology | 208800000X | 15032 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 129 |
|---|---|
| Services billed | 308 across 33 procedure codes |
| Paid by Medicare | $19,618 |
Part D prescriptions in 2024
| Prescriptions (claims) | 422 · 854 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $21,289 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Urology |
| Telehealth | Offers telehealth |
Medical groups
- Monument Health Rapid City Hospital IncRapid City, SD · 564 clinicians
- Monument Health Network IncSpearfish, SD · 160 clinicians
Hospital affiliations
- Fall River Hospital - CahHot Springs, SD
- Monument Health Rapid City HospitalRapid City, SD
- Monument Health Spearfish HospitalSpearfish, SD
- Monument Health Sturgis HospitalSturgis, SD
Industry payments (Open Payments)
- 2025$27.25 · 1 payment from 1 company
- 2024$13.61 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Valencia Technologies Corporation | $27.25 | 1 |
What the 2025 payments were for
- Food and Beverage$27.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Urology providers in South Lake Tahoe
- 1225455157
- 1801952213