BRADLEY PHYSICIAN SERVICES LLC NPI 1710727540

NPI Information

  • NPI: 1710727540
  • Provider Name: BRADLEY PHYSICIAN SERVICES, LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • CLIA Number: 44D2262956
  • Address: 2305 CHAMBLISS AVE NW
    CLEVELAND, TN
    ZIP 37311
  • Phone: (423) 728-1650

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NPI Details

BRADLEY PHYSICIAN SERVICES, LLC is an orthopaedic surgery of the spine orthopaedic surgery in Cleveland, TN. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. BRADLEY PHYSICIAN SERVICES, LLC NPI is 1710727540. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2305 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311-847
Phone: (423) 728-1650

The provider's authorized official is Randall Foster .
The authorized official title is Executive Director, Financial Servi and has the following contact phone number (706) 272-6124.

The CLIA number assigned to this NPI record is 44D2262956 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2024 and was last updated on 5/29/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RN0300XInternal MedicineNephrologyNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes
52084N0400XPsychiatry & NeurologyNeurologyNo
6363A00000XPhysician AssistantNo
7363LF0000XNurse PractitionerFamilyNo

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: 11/21/2025

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