Individual provider Active NPI

Bradley Martin Collins, FNP-C

  • Family Nurse Practitioner
  • Mt Juliet, TN
National Provider Identifier
1487248787
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29032 Issued in TN
Practice address
401 S Mount Juliet Rd
Mt Juliet, TN 37122-6359
Phone
(615) 758-1524
Fax
(615) 758-1525
NPI assigned
Feb 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29032 TN Primary

Addresses

Primary practice location

401 S Mount Juliet Rd
Mt Juliet, TN 37122-6359

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923000442 TN Practitioner - Nurse Practitioner 9335546043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

4024 N Mount Juliet Rd
Mt Juliet, TN 37122-3086
Phone (615) 257-2171

509 Hillsboro Rd
Franklin, TN 37064-2123
Phone (615) 472-2139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Nov 1, 2022 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Mar 3, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Nov 1, 2022 Accepting new patients

Locations

1418 W Main St
Lebanon, TN 37087
Phone (615) 449-4653

1905 Gallatin Pike N
Madison, TN 37115
Phone (615) 338-7041

401 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 393-1709

4024 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 257-2171

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3024 Gallatin Pike
Nashville, TN 37216
Phone (615) 665-4400

2662 Memorial Blvd
Springfield, TN 37172
Phone (615) 380-8411

Interoperability endpoints

  • Direct secure messaging: bradley.collins@hca1.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1487248787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371226359",
            "telephone_number": "615-758-1524",
            "fax_number": "615-758-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRADLEY",
        "middle_name": "MARTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.