Bradley P Tice, PHARMD, MBA, FAPHA

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-12170 Issued in KS

Practice address

3501 Robbins Nest Rd
Thompsons Station, TN 37179-5469

Phone

(615) 574-9638

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy

State licenses

Practice roles

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.

• Rxgenomix, LLC

  • Clinical Medical Laboratory
  • Thompsons Station, TN
  • NPI 1306283569
  NPD (past) Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255305298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ROBBINS NEST RD",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795469",
            "telephone_number": "615-574-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 ROBBINS NEST RD",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795469",
            "telephone_number": "615-574-9638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PharmMD Solutions, LLC",
            "address_2": "216 Centerview Dr., Suite 390",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274516",
            "country_code": "US",
            "telephone_number": "615-690-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICE",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA, FAPHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18569",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M. Swendsen, APRN, CNM
• T Brinke Investments LLC (Cornerstone Medical & Weight Loss)
• Shaw Wilson Taylor, DC
• Tennessee Behavioral Partners
• Lisa Claude Thompson, SLP
• Kristi Trusty
• Rachel Tyler
• Abiemwense Queen Uwaifo, FNP
• Letha Vijayarajan Santhamma, PHARMACIST
• Courtney Iva Waters, FNP-C

• Pharmacist in Thompsons Station, TN
• Providers in Thompsons Station, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.