NPIMap

Organization Active NPI

Bradley Health Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Hermitage, TN
National Provider Identifier
1194081265
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000003420 Issued in TN
Legal business name
BRADLEY HEALTH CARE, INC
Practice address
4343 Lebanon Pike
Suite 100
Hermitage, TN 37076-1221
Phone
(615) 871-8217
Fax
(615) 871-8219
NPI assigned
Apr 3, 2012
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BRADLEY HOME HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Mr. Phillip W Bradley, DPH
Title
President
Phone
(615) 383-2741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000003420 TN Primary

Addresses

Primary practice location

4343 Lebanon Pike
Suite 100
Hermitage, TN 37076-1221

Mailing address

5206 Charlotte Pike
Nashville, TN 37209-3321
Phone (615) 383-2741

Other identifiers 1

IdentifierTypeStateIssuer
3543834MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Bradleys Home HLTH CNTR3 organizations share this tax ID, including this one
Part of
Bradleys Home HLTH CNTR

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1194081265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093321",
            "telephone_number": "615-383-2741",
            "fax_number": "615-298-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 LEBANON PIKE",
            "address_2": "SUITE 100",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761221",
            "telephone_number": "615-871-8217",
            "fax_number": "615-871-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADLEY HOME HEALTH CARE, INC.",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-383-2741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000003420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3543834",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.