Roberts Joseph Bradford Sr., DDS
Individual provider Active NPI Dentist · Greeneville, TN
NPI 1376534800 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1376534800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS001655 (TN)
- Practice address
- 600 Tusculum Blvd
Suite 1
Greeneville, TN 37745-3951 - Phone
- (423) 638-5141
- Fax
- (423) 638-5131
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS001655 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adkins Family Dentistry, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS001655 | TN | Yes |
Addresses
Primary practice location
600 Tusculum Blvd
Suite 1
Greeneville, TN 37745-3951
Mailing address
600 Tusculum Blvd
Suite 1
Greeneville, TN 37745-3951
Phone (423) 638-5141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3212523 | Medicaid | TN |
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.