Organization Active NPI

Bradleys Home Health Care Center Inc

Doing business as Bradley Drug Co

  • Community/Retail Pharmacy
  • Nashville, TN
National Provider Identifier
1235175654
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRADLEYS HOME HEALTH CARE CENTER INC
Doing business as
Bradley Drug Co
Practice address
5206 Charlotte Pike
Nashville, TN 37209-3321
Phone
(615) 383-2741
Fax
(615) 383-5493
NPI assigned
Jun 22, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5206 Charlotte Pike
Nashville, TN 37209-3321

Mailing address

5208 Charlotte Ave
Nashville, TN 37209
Phone (615) 383-2741

Other identifiers 1

IdentifierTypeStateIssuer
Q037148MedicaidTN

Other names 1

  • Bradley Drug Co Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150127001123 TN Part B Supplier - Mass Immunization (Roster Biller Only) 3375662166 Practice locations: Nashville, TN

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

4909 Alabama Ave
Nashville, TN 37209
Phone (615) 383-9516

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

5208 Charlotte Pike
Nashville, TN 37209
Phone (615) 383-2741

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1235175654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "615-383-2741",
            "fax_number": "615-383-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093321",
            "telephone_number": "615-383-2741",
            "fax_number": "615-383-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEYS HOME HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037148",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Drug Co",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bradley Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.