Melissa Bradley, MS, RD, CBDCE, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1016 Issued in TN

Practice address

55 E Main St Ste 106
Chattanooga, TN 37408-1237

Phone

(423) 689-1600

NPI assigned

Jan 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1457002107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 MIDDLE VALLEY RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E MAIN ST STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081237",
            "telephone_number": "423-689-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7512 Middle Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373432235",
            "country_code": "US",
            "telephone_number": "423-503-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MELISSA",
        "credential": "MS, RD, CBDCE, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Drennon Bradford, PHARMD
• Jeremy Drew Bradley
• Jesse Bradley
• Kerri Nicole Bradley
• Lynn Bradley, BA
• Samantha Caitlin Bradley, BCBA
• Sherry Janel Bradley
• Alicia G Bradshaw, MS, MFTI
• Angela Bradshaw, RN
• Madison M Bradshaw, PHARMD

• Registered Dietitian in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.