Julie Bradburn, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5921 Issued in TN

Practice address

740 Middle Creek Rd Ste 110
Sevierville, TN 37862

Phone

(865) 446-9750

Fax

(865) 446-9751

NPI assigned

Sep 17, 2008

Last updated

Feb 14, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Blue Ridge Georgia Hospital Company LLC

  dba Blue Ridge Medical Center

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1508015256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HIGHLAND VIEW DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379207732",
            "telephone_number": "770-355-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD STE 110",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-446-9750",
            "fax_number": "865-446-9751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Riverstone Vis",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305136648",
            "country_code": "US",
            "telephone_number": "706-964-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURN",
        "first_name": "JULIE",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004509",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "4060",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorden Renee Born
• Brittany Jeanette Bowman, MSW
• Jeanna Boyer
• Charles H Bozeman II, MD
• Bracing & Rehab Kinetics LLC
• Jerry Wayne Bradley, M.D.
• Jessica Breedlove, FNP-C
• Jessica W Brewer, PT, DPT
• Sharon E Brewer, M.A., CCC-SLP
• Matthew David Bridges, M.D.

• Speech-Language Pathologist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.