Individual provider Active NPI

Bradford Darr, OD

  • Optometrist
  • Brentwood, TN
National Provider Identifier
1609930684
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2456 Issued in TN
Practice address
8113 Moores LN
Brentwood, TN 37027-8037
Phone
(615) 309-5050
Fax
(615) 309-5054
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2456 TN Primary

Addresses

Primary practice location

8113 Moores LN
Brentwood, TN 37027-8037

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
3945975MedicaidTN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000585 TN Practitioner - Optometry 7911186630 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Aug 4, 2003 Accepting new patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Aug 4, 2003 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Dr Mark Lynn & Associates PLLC Past Accepting new patients
Parschauer Eye Center, Inc Past Accepting new patients

Locations

5304 Mount View Rd
#J
Antioch, TN 37013
Phone (615) 731-2701

8113 Moores Ln
Ste 1800
Brentwood, TN 37027
Phone (615) 309-5050

2801 Wilma Rudolph Blvd
Ste 475
Clarksville, TN 37040
Phone (931) 553-8033

377 W Jackson St
Ste 1D
Cookeville, TN 38501
Phone (931) 525-1268

1800 Galleria Blvd
Ste 1330
Franklin, TN 37067
Phone (615) 771-7382

254 Indian Lake Blvd
Ste 100
Hendersonville, TN 37075
Phone (615) 822-0446

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

115 Mall Circle Dr
Ste A
Murfreesboro, TN 37129
Phone (615) 895-7090

3904 Hillsboro Pike
Ste C
Nashville, TN 37215
Phone (615) 292-2040

6800 Charlotte Pike
Ste 110
Nashville, TN 37209
Phone (615) 354-5807

841 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-6108

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Organizations & group practices 6

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609930684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 MOORES LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278037",
            "telephone_number": "615-309-5050",
            "fax_number": "615-309-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARR",
        "first_name": "BRADFORD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945975",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.