Individual provider Active NPI

Bradley J Lawrance, PTA

  • Physical Medicine & Rehabilitation Physician
  • Franklin, TN
National Provider Identifier
1619549607
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7582 Issued in TN
Practice address
216 Fairground St
Franklin, TN 37064-3531
Phone
(615) 790-0154
NPI assigned
Jul 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7582 TN Primary

Addresses

Primary practice location

216 Fairground St
Franklin, TN 37064-3531

Mailing address

442 Creekside LN
Spring Hill, TN 37174-2169
Phone (954) 554-3962

Other identifiers 1

IdentifierTypeStateIssuer
7582MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL NHC_franklin Direct
SOAP URL casamba Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1619549607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CREEKSIDE LN",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742169",
            "telephone_number": "954-554-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FAIRGROUND ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643531",
            "telephone_number": "615-790-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRANCE",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "7582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7582",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NHC_franklin",
            "affiliation": "N",
            "endpointDescription": "skilled_nursing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 Fairground St",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370643531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "casamba",
            "affiliation": "N",
            "endpointDescription": "documentation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 Fairground St",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370643531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.