Individual provider Active NPI

Melita Melson Bradley, MD

  • Pediatrics Physician
  • Murfreesboro, TN
National Provider Identifier
1003888082
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD31444 Issued in TN
Practice address
3626 Shelbyville Hwy
Murfreesboro, TN 37127-6382
Phone
(615) 893-4480
Fax
(615) 867-7951
NPI assigned
Feb 3, 2006
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD31444 TN Primary

Addresses

Primary practice location

3626 Shelbyville Hwy
Murfreesboro, TN 37127-6382

Mailing address

3626 Shelbyville Hwy
Murfreesboro, TN 37127-6382
Phone (615) 893-4480

Other practice location 1

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480

Other names 1

  • Melita Faye Melson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000390 TN Practitioner - Pediatric Medicine 1951319078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31444TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Medical Clinic, P.a. CurrentSince Sep 10, 2010 Accepting new patients
Murfreesboro Medical Clinic, P.a. CurrentSince Sep 10, 2010 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Saint Thomas Rutherford Hospital Past Accepting new patients

Locations

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

3626 Shelbyville Hwy
Murfreesboro, TN 37127
Phone (615) 867-8002

Interoperability endpoints

  • Direct secure messaging: melitabradley@mmcsc.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1003888082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SHELBYVILLE HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276382",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SHELBYVILLE HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276382",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 Garrison Dr",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292598",
            "country_code": "US",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MELITA",
        "middle_name": "MELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD31444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELITA",
            "last_name": "MELSON",
            "middle_name": "FAYE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.