Julie Bradburn, M.ED, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Sevierville, TN
NPI 1508015256 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1508015256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5921 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4060 | AR | MD | Dentist |
| SLP004509 | GA | MD | Speech-Language Pathologist |
| 5921 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Georgia Hospital Company LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004509 | GA | |
| Speech-Language Pathologist | 235Z00000X | 4060 | AR | |
| Speech-Language Pathologist | 235Z00000X | 5921 | TN | Yes |
Addresses
Primary practice location
740 Middle Creek Rd Ste 110
Sevierville, TN 37862
Mailing address
520 Highland View Dr
Knoxville, TN 37920-7732
Phone (770) 355-6366
Other practice location 1
101 Riverstone Vis
Suite 113
Blue Ridge, GA 30513-6648
Phone (706) 964-4261
Other providers in Sevierville, TN
- Jorden Renee Born
- Brittany Jeanette Bowman
- Jeanna Boyer
- Charles H Bozeman II
- Bracing & Rehab Kinetics LLC
- Jerry Wayne Bradley
- Jessica Breedlove
- Jessica W Brewer
- Sharon E Brewer
- Matthew David Bridges
All providers in Sevierville, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.