Bridgett Renee Bradley

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

I000000022060 Issued in TN

Practice address

1674 Delano Ave Unit 233
Memphis, TN 38127-8515

Phone

(901) 318-6967

Fax

(901) 347-1259

NPI assigned

Apr 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound of Triumph Home Care Agency LLC

  dba Bridgett R. Bradley Enterprises

  • In Home Supportive Care Agency
  • Bartlett, TN
  • NPI 1578060521

  Nursing Care

  NPD Authorized official
• Sound of Triumph Home Care Agency LLC

  • In Home Supportive Care Agency
  • Memphis, TN
  • NPI 1598458895
  NPD Authorized official

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1376040311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343168",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381843168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 DELANO AVE UNIT 233",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278515",
            "telephone_number": "901-318-6967",
            "fax_number": "901-347-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BRIDGETT",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "I000000022060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Bradford
• Bradley W. Wilkinson (Pediatric Dental Specialties)
• Ashley Wallace Bradley, PHARMD
• Bobby Deshaun Bradley, MD
• Breasia Bradley
• Christina Bradley
• Danielle Bradley, APRN, FNP-C
• Emily Bradley, PA-C
• Emma Bradley, MS, CGC
• Emma Bradley

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.