Provider Type Icon

BRADLEY PEDIATRICS NPI 1154417152


NPI Information

NPI: 1154417152
Provider Name: BRADLEY PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2825 WESTSIDE DR NW
STE C
CLEVELAND, TN
ZIP 37312
Phone: (423) 614-3733
Get Directions

BRADLEY PEDIATRICS is a specialist in Cleveland, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRADLEY PEDIATRICS NPI is 1154417152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2825 WESTSIDE DR NW
STE C
CLEVELAND, TN
ZIP 37312-505
Phone: (423) 614-3733
Fax: (423) 614-3738

The provider's authorized official is Brandi Bivens .
The authorized official title is Coding Supervisor and has the following contact phone number (423) 339-2330.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist21336TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F19025MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.