Individual provider Active NPI

John Paul Bradley, FNP

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1144595257
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN21539 Issued in TN
Practice address
7865 Educators Lane
Suite 110
Bartlett, TN 38133-8191
Phone
(901) 591-1590
NPI assigned
Mar 22, 2012
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN21539 TN Primary

Addresses

Primary practice location

7865 Educators Lane
Suite 110
Bartlett, TN 38133-8191

Mailing address

131 Saundersville Road
Suite 160
Hendersonville, TN 37075-8940
Phone (901) 591-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160906001214 TN Practitioner - Nurse Practitioner 5991091654 Reassigns benefits to 2 organizations
I20170712003586 MS Practitioner - Nurse Practitioner 5991091654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Healthcare Community Care AssociatesGroup PAC ID 0941113757, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

7235 Hacks Cross Rd
Olive Branch, MS 38654-4213
Phone (662) 893-9800

8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN21539TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services P C CurrentSince Mar 7, 2017 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

Interoperability endpoints

  • Direct secure messaging: jbradley26892@mlh.direct-ci.com

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1144595257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE ROAD",
            "address_2": "SUITE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758940",
            "telephone_number": "901-591-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LANE",
            "address_2": "SUITE 110",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-591-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN21539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.