NPIMap

Individual provider Active NPI

Bradley Rayford Keel, DO

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1003041641
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2274 Issued in TN
Practice address
1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222
Phone
(423) 888-5930
Fax
(423) 634-0103
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2274 TN Primary

Addresses

Primary practice location

1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120815000228 TN Practitioner - Internal MedicinePractitioner - Hospitalist 9436305042 Reassigns benefits to 2 organizations
I20210322002406 GA Practitioner - Internal Medicine 9436305042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1067 Riverfront Pkwy
Suite 201
Chattanooga, TN 37402-2222
Phone (423) 954-7177

3824 S Hwy 27
La Fayette, GA 30728-3967
Phone (706) 639-9055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Emergency Medicine PLLC CurrentSince Jan 7, 2013 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jul 15, 2024 Accepting new patients
Chattanooga Emergency Medicine PLLC Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Family Care of Northwest Georgia PastSince Mar 2, 2026 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

111A Laurel Creek Rd SE
Calhoun, GA 30701
Phone (706) 624-1001

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

3824 S Highway 27
La Fayette, GA 30728
Phone (706) 639-9055

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

1067 Riverfront Pkwy
Ste 201
Chattanooga, TN 37402
Phone (423) 822-2387

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA/Endpoint/DIJIBA
  • FHIR API: https://epicproxy.et0967.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HADFDD/Endpoint/HADFDD
  • FHIR API: https://rpsouth.catholichealth.net/fhir/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: bradley.keel@488678167609348.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1003041641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "423-495-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 RIVERFRONT PKWY STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022222",
            "telephone_number": "423-888-5930",
            "fax_number": "423-634-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL",
        "first_name": "BRADLEY",
        "middle_name": "RAYFORD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.