Organization Active NPI

Bradley Nephrology

  • Nephrology Physician
  • Cleveland, TN
National Provider Identifier
1164823894
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18795 Issued in TN
Legal business name
BRADLEY NEPHROLOGY
Practice address
915 Clingan Ridge Dr NW
Cleveland, TN 37312-3729
Phone
(423) 339-3340
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BALRAM L. CHHAJWANIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Dr. Balram L Chhajwani, M.D.NPI 1700850245
Title
Physician
Phone
(423) 339-3340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 18795 TN Primary

Addresses

Primary practice location

915 Clingan Ridge Dr NW
Cleveland, TN 37312-3729

Mailing address

915 Clingan Ridge Dr NW
Cleveland, TN 37312-3729

National Provider Directory

National Provider Directory
Part of
Bradley Nephrology

Locations

915 Clingan Ridge Dr NW
Cleveland, TN 37312
Phone (423) 339-3340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1164823894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CLINGAN RIDGE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CLINGAN RIDGE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123729",
            "telephone_number": "423-339-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY NEPHROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALRAM L. CHHAJWANI",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "CHHAJWANI",
        "authorized_official_first_name": "BALRAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-339-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "18795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.