Bradford Evolve Treatment Services, LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

BRADFORD EVOLVE TREATMENT SERVICES, LLC

Practice address

201 Prosperity Dr
Knoxville, TN 37923-4711

Phone

(865) 444-1658

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Mark Edwards

Title

Cfo

Phone

(205) 244-8112

Specialties & licenses 2

Addresses

Other names 1

• Evolve Addiction Treatment Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Craig, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1154912921
  NPD (past)
• Cynthia Kay Rector, MD

  • Psychiatry Physician
  • Brentwood, TN
  • NPI 1942276829

  Addiction Medicine

  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1629646336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERIMETER PARK S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432327",
            "telephone_number": "205-251-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PROSPERITY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234711",
            "telephone_number": "865-444-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9217 Park West Blvd Ste E1",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234421",
            "country_code": "US",
            "telephone_number": "865-444-1658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Market St",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "TN",
            "postal_code": "371661725",
            "country_code": "US",
            "telephone_number": "615-318-1872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1432 W Main St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871397",
            "country_code": "US",
            "telephone_number": "615-947-2491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Topside Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "TN",
            "postal_code": "377775502",
            "country_code": "US",
            "telephone_number": "865-444-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADFORD EVOLVE TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-244-8112"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Addiction Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Destiny Bradden, LPC MHSP, LPCC
• Amy Marie Braden, COUNSELOR
• Andrew Steven Braden, DPT
• Jacilyn Braden
• Timothy Kevin Braden, M.D.
• Annemarie Bradford, M.S., CCC-SLP
• Kalyn Bradford, AU.D.
• Kayla Marie Bradford, PHARMD
• Olivia Bradford
• Tonya Michelle Bradford, P.T.

• Addiction Medicine (Preventive Medicine) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Addiction Medicine (Preventive Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.