Individual provider · NPI-1

Dr. Theran Bradford Adamson, MD

Family Medicine, Addiction Medicine · Des Moines, IA

NPI number1386646610
StatusActive
Last updated in NPPESAug 21, 2024

Details

NPI
1386646610
Entity type
Individual (NPI-1)
Name
Dr. Theran Bradford Adamson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2005
Certification date
Aug 21, 2024
Last updated
Aug 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0401X Family Medicine, Addiction MedicineMD-53395IAYes
207Q00000X Family MedicineM-12662ID
207Q00000X Family Medicine39950CO
207QA0401X Family Medicine, Addiction MedicineME152384FL

Practice location

1200 University Ave Ste 120
Des Moines, IA 50314-2355

Phone 515-248-1500 · Fax 515-248-1510

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355

Phone 515-248-1447 · Fax 515-248-1440

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