Organization Active NPI

Bradshaw Health, PLLC

  • Adult Health Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1699214437
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5732 Issued in TN
Legal business name
BRADSHAW HEALTH, PLLC
Practice address
1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Phone
(615) 444-4126
Fax
(855) 785-2890
NPI assigned
Feb 13, 2017
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Brenda M McFarlin, APRN-BCNPI 1699705855
Title
Owner
Phone
(615) 444-4126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 627 TN
Adult Health Nurse Practitioner 363LA2200X 20598 TN
Adult Health Nurse Practitioner 363LA2200X 5732 TN Primary
Primary Care Nurse Practitioner 363LP2300X
Emergency Medicine Physician 207P00000X 818 TN

Addresses

Primary practice location

1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510

Mailing address

1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Phone (615) 444-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001410 TN Part B Supplier - Clinic/Group Practice 4880961416 Receives reassigned benefits from 4 practitioners
Practice locations: Lebanon, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0307243Bradshaw Health, PLLC1420 W Baddour Pkwy, Ste 240, Lebanon, TN 37087Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

115 Winwood Dr
Ste 105
Lebanon, TN 37087
Phone (615) 444-4126

115 Winwood Dr
Ste 205
Lebanon, TN 37087
Phone (615) 444-4126

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1699214437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 240",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126",
            "fax_number": "855-785-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 240",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126",
            "fax_number": "855-785-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MCFARLIN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-444-4126",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "627",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "20598",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "5732",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.