Individual provider Active NPI

Julie Bradley, LADAC II, NCAC II

  • Addiction (Substance Use Disorder) Counselor
  • Murfreesboro, TN
National Provider Identifier
1356069934
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1478 Issued in TN
Practice address
814 S Church St Ste 222
Murfreesboro, TN 37130-4991
Phone
(615) 510-7500
NPI assigned
Aug 18, 2022
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1478 TN Primary

Addresses

Primary practice location

814 S Church St Ste 222
Murfreesboro, TN 37130-4991

Mailing address

745 S Church St Ste 505
Murfreesboro, TN 37130-4980
Phone (615) 510-7500

Other practice location 1

814 S Church St Ste 222
Murfreesboro, TN 37130-4991
Phone (615) 486-4200

Other names 1

  • Ms. Julie Vermillion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1356069934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 505",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304980",
            "telephone_number": "615-510-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S CHURCH ST STE 222",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304991",
            "telephone_number": "615-510-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 S Church St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371304991",
            "country_code": "US",
            "telephone_number": "615-486-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "LADAC II, NCAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "VERMILLION",
            "prefix": "MS.",
            "credential": "LADAC II, NCAC II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.