Bradley Edward Gatlin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32295 Issued in TN

Practice address

2095 Saint John Ave
Dyersburg, TN 38024-2209

Phone

(731) 334-5353

Fax

(731) 334-5418

NPI assigned

Aug 24, 2022

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Family Walk in Clinic LLCGroup PAC ID 4981112265, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAHIDD
• FHIR API: https://fhir4.healow.com/fhir/r4/BAHIDD/Endpoint/BAHIDD

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.

• Faith Family Walk in Clinic LLC

  • General Practice Physician
  • Dyersburg, TN
  • NPI 1508662354

  TN

  Medicare reassignment Care Compare group NPD
• Hometown Urgent Care of Dyersburg PLLC

  • Urgent Care Clinic/Center
  • Dyersburg, TN
  • NPI 1003318593

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1225757008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 BIFFLE RD",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380595213",
            "telephone_number": "731-694-0341",
            "fax_number": "731-334-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 SAINT JOHN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242209",
            "telephone_number": "731-334-5353",
            "fax_number": "731-334-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Parr Ave",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242033",
            "country_code": "US",
            "telephone_number": "731-325-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "BRADLEY",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G. S. Bindra, M.D., PLLC
• Gamma Healthcare, Inc
• Amanda Gammons, PHARMD
• Jessica Marie Gardner, FNP
• Brooke Lacy Garner
• Jeremy Wayne Gatlin, D.C.
• Jill Christine Gatlin, D.C.
• Geriatric Essentials, PC
• Harry Robert Gilley, LCSW
• Grace Family Practice Clinic, P.C.

• All providers in Dyersburg, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.