DR. BRADLEY MYREN ANDERSON (MD) – Ophthalmology Physician, NPI 1548258221

DR. BRADLEY MYREN ANDERSON (MD) is a healthcare provider. based in Saint cloud, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 43592 (MN). The NPI Number for DR. BRADLEY MYREN ANDERSON (MD) is 1548258221

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY MYREN ANDERSON (MD)
NPI
1548258221
Phone
(320) 251-1432
Address
2055 15TH ST N
Enumeration Date
7 October 2005
Last Update Date
20 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3202511432
Graduation Year
2000 (26 years ago)
PAC ID
5597749762
Group Practice PAC ID
8325022577
Professional Enrollment ID
I20040615001429
Address ID
MN563031747SA2055XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for DR. BRADLEY MYREN ANDERSON (MD)

  • 15th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563031747

    Phone: (320) 251-1432

    Fax: (320) 251-7122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040615001429IOphthalmologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes226217$0
92136Measurement of corneal curvature and depth of eye190119$0
99213Established patient office or other outpatient visit, 20-29 minutes188155$0
66984Removal of cataract with insertion of prosthetic lens16096$0
99204New patient office or other outpatient visit, 45-59 minutes109109$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325022577View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What NPI should I save for DR. BRADLEY MYREN ANDERSON (MD)?
Save NPI 1548258221 if you need a stable reference for DR. BRADLEY MYREN ANDERSON (MD).
Is DR. BRADLEY MYREN ANDERSON (MD) active in the national directory?
DR. BRADLEY MYREN ANDERSON (MD)'s public NPI profile is in an active state.
What does DR. BRADLEY MYREN ANDERSON (MD) treat or focus on?
Patients typically see DR. BRADLEY MYREN ANDERSON (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRADLEY MYREN ANDERSON (MD)?
The page summarizes Saint Cloud, Minnesota for DR. BRADLEY MYREN ANDERSON (MD); expand the address list for detail.
Is DR. BRADLEY MYREN ANDERSON (MD) a real provider?
This page reflects official NPPES data for NPI 1548258221. Always confirm identity and privileges with the practice and licensing boards.

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