Individual provider Active NPI

Bradley S Rust, MD

  • Pulmonary Disease Physician
  • Gallatin, TN
National Provider Identifier
1104890003
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17226 Issued in TN
Practice address
300 Steam Plant Road
Suite 300
Gallatin, TN 37066
Phone
(615) 230-8070
Fax
(615) 452-1774
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35065588 OH
Pulmonary Disease Physician 207RP1001X 17226 TN Primary

Addresses

Primary practice location

300 Steam Plant Road
Suite 300
Gallatin, TN 37066

Mailing address

300 Steam Plant Rd
Suite 300
Gallatin, TN 37066-3032
Phone (615) 230-8070

Other identifiers 1

IdentifierTypeStateIssuer
Q000962MedicaidTN

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
I20130724000840 TN Practitioner - Pulmonary Disease 2769664044 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065588OHMDPulmonary Disease Physician
17226TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Pulmonary Disease CurrentSince Apr 1, 2016 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Mar 15, 2021 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Oct 1, 2021 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Mar 15, 2021 Accepting new patients
Sumner Physician Practices LLC Pulmonary Disease CurrentSince Oct 1, 2021 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients

Locations

107 Health Care Dr
Carthage, TN 37030
Phone (615) 328-3390

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

110 Saint Blaise Rd
Ste 200
Gallatin, TN 37066

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

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

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: bradley.rust.1@19363.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1104890003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-230-8070",
            "fax_number": "615-452-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT ROAD",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-230-8070",
            "fax_number": "615-452-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35065588",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "17226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.