Individual provider Active NPI

Bradley Keith Rudge, M.D.

  • General Practice Physician
  • Franklin, TN
National Provider Identifier
1306972179
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD015449 Issued in TN
Practice address
2017 Mallory LN
Franklin, TN 37067-8213
Phone
(615) 656-3239
Fax
(615) 771-6853
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD015449 TN Primary

Addresses

Primary practice location

2017 Mallory LN
Franklin, TN 37067-8213

Mailing address

2017 Mallory LN
Franklin, TN 37067-8213
Phone (615) 656-3239

Other identifiers 1

IdentifierTypeStateIssuer
4097673OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000030 TN Practitioner - General Practice 9537120712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians

Practice addresses (Care Compare)

1020 Dr Martin L King Jr Blvd
Nashville, TN 37203-5740
Phone (615) 622-4644

1214 Gallatin Ave
Apt 101
Nashville, TN 37206-3270
Phone (615) 988-1620

2017 Mallory LN
Franklin, TN 37067-8213
Phone (615) 656-3239

7602 Hwy 70 S
Suite 101
Bellevue, TN 37221-1893
Phone (629) 401-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD015449TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Enterprise LLC CurrentSince Nov 21, 2017 Accepting new patients
Walk-in Medical Center of Cool Springs PastSince Aug 15, 2002 Accepting new patients
Tennessee Urgent Care Associates, LLC Past Accepting new patients

Locations

210 Franklin Rd
Ste 4-B
Brentwood, TN 37027
Phone (615) 964-6160

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 International Dr
Ste 5
Franklin, TN 37067
Phone (615) 656-3239

2017 Mallory Ln
Franklin, TN 37067
Phone (615) 656-3239

280 Indian Lake Blvd
Ste 140
Hendersonvlle, TN 37075
Phone (615) 590-1440

5225 Old Hickory Blvd
Ste 205
Hermitage, TN 37076
Phone (615) 915-2890

1705 W Main St
Ste 211
Lebanon, TN 37087
Phone (615) 938-7171

669 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 541-4545

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

3404 West End Ave
Ste 101
Nashville, TN 37203
Phone (615) 866-4238

2372 Lebanon Pike
Nashville, TN 37214
Phone (615) 266-0355

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1306972179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678213",
            "telephone_number": "615-656-3239",
            "fax_number": "615-771-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678213",
            "telephone_number": "615-656-3239",
            "fax_number": "615-771-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDGE",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD015449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4097673",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.