NPIMap

Organization Active NPI

Bradshaw Medical Clinic, PC

  • Clinic/Center
  • Lebanon, TN
National Provider Identifier
1255406450
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
TN4167 Issued in TN
Legal business name
BRADSHAW MEDICAL CLINIC, PC
Practice address
1409 W. Baddour Pkwy
Suite D
Lebanon, TN 37087-2599
Phone
(615) 444-4126
Fax
(615) 547-1825
NPI assigned
Nov 22, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Brenda McFarlin, NPNPI 1699705855
Title
Co-Owner/Vice President
Phone
(615) 444-4126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TN4167 TN Primary

Addresses

Primary practice location

1409 W. Baddour Pkwy
Suite D
Lebanon, TN 37087-2599

Mailing address

1409 W. Baddour Pkwy
Suite D
Lebanon, TN 37087-2599
Phone (615) 444-4126

National Provider Directory

National Provider Directory

Locations

1409 W Baddour Pkwy
Ste D
Lebanon, TN 37087
Phone (615) 444-4126

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1255406450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W. BADDOUR PKWY",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872599",
            "telephone_number": "615-444-4126",
            "fax_number": "615-547-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W. BADDOUR PKWY",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872599",
            "telephone_number": "615-444-4126",
            "fax_number": "615-547-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MCFARLIN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CO-OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "615-444-4126",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "TN4167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.