NPIMap

Organization Active NPI

Bradley/Cleveland Developmental Services

  • Speech/Language/Hearing Specialist/Technologist
  • Cleveland, TN
National Provider Identifier
1376647479
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
MD0000020193 Issued in TN
Legal business name
BRADLEY/CLEVELAND DEVELOPMENTAL SERVICES
Practice address
764 Old Chattanooga PK SW
Cleveland, TN 37364-0007
Phone
(423) 338-5238
NPI assigned
Sep 11, 2006
Reactivated
May 3, 2023
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Raymond Brown
Title
Managing/Director
Phone
(423) 472-5268

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X MD0000020193 TN Primary
Speech-Language Pathologist 235Z00000X 11041 TN
Speech-Language Pathologist 235Z00000X 012009 TN

Addresses

Primary practice location

764 Old Chattanooga PK SW
Cleveland, TN 37364-0007

Mailing address

764 Old Chattanooga PK SW
PO Box 7
Cleveland, TN 37364-0007
Phone (423) 472-5268

National Provider Directory

National Provider Directory
Tax ID family
Life Bridges Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376647479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 OLD CHATTANOOGA PK SW",
            "address_2": "PO BOX 7",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373640007",
            "telephone_number": "423-472-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 OLD CHATTANOOGA PK SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373640007",
            "telephone_number": "423-338-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY/CLEVELAND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2023-05-03",
        "deactivation_date": "2022-02-18",
        "reactivation_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING/DIRECTOR",
        "authorized_official_telephone_number": "423-472-5268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "TN",
            "license": "MD0000020193",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "11041",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "012009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.