Active NPI
Bradley Leston Cross, PHARM.D.
- Pharmacist
- Cookeville, TN
National Provider Identifier
1427171404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9796
- Practice address
- 606 W Main St
Suite a
Cookeville, TN 38506-5325 - Phone
- (931) 537-3211
- Fax
- (931) 537-9994
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9796 | TN | Primary |
| Nuclear Pharmacist | 1835N0905X | 9796 | TN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 9796 | TN |
Addresses
Primary practice location
606 W Main St
Suite a
Cookeville, TN 38506-5325
Mailing address
263 Haven LN
Cookeville, TN 38506-5756
Phone (931) 537-6782
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bretthaven Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1427171404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 HAVEN LN",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385065756",
"telephone_number": "931-537-6782",
"fax_number": "931-537-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W MAIN ST",
"address_2": "SUITE A",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385065325",
"telephone_number": "931-537-3211",
"fax_number": "931-537-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "BRADLEY",
"middle_name": "LESTON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9796",
"primary": true
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "TN",
"license": "9796",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "9796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.