Individual provider Active NPI

Bradley Wayne Bull, M.DIV., PH.D., LMFT

  • Marriage & Family Therapist
  • Hermitage, TN
National Provider Identifier
1457624009
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
584 Issued in TN
Practice address
5125 Bay Overlook Dr
Hermitage, TN 37076-3651
Phone
(865) 463-1817
NPI assigned
Feb 13, 2012
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 584 TN Primary

Addresses

Primary practice location

5125 Bay Overlook Dr
Hermitage, TN 37076-3651

Mailing address

5125 Bay Overlook Dr
Hermitage, TN 37076-3651
Phone (865) 789-3481

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 Philosophy

State licenses

LicenseStateTypeSpecialty
584TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1457624009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 BAY OVERLOOK DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763651",
            "telephone_number": "865-789-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 BAY OVERLOOK DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763651",
            "telephone_number": "865-463-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.DIV., PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.