Bradley J Greives, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9166 Issued in TN

Practice address

104 Hazel Path Ste 1
Stratford Building
Hendersonville, TN 37075-3844

Phone

(615) 824-7220

Fax

(615) 824-9947

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brad Greives DDS. PPLC

  • Dental Clinic/Center
  • Hendersonville, TN
  • NPI 1881353027
  NPD
• Jerry E. Sullins, DDS

  • General Practice Dentistry
  • Hendersonville, TN
  • NPI 1649442252
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1013228915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HAZEL PATH STE 1",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753867",
            "telephone_number": "615-824-7220",
            "fax_number": "615-824-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HAZEL PATH STE 1",
            "address_2": "STRATFORD BUILDING",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753844",
            "telephone_number": "615-824-7220",
            "fax_number": "615-824-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIVES",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Greene, MS, CCC-SLP
• Aubree Greenwald
• Greenwood Counseling Center TN, PLLC
• Daisy Greer
• Molly Ann Greer, PA
• Daniel Morton Griffin, DDS
• Nanette Lynne Griffin, LPC-MHSP
• Skylar Grimaud
• Frank Marlin Grimes, DDS,MS
• Lisa Grissim, NP-C.

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.