Individual provider Active NPI

Bradley Blake Bower, MD

  • Internal Medicine Physician
  • Antioch, TN
National Provider Identifier
1720093495
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77190 Issued in TN
Practice address
5304 Cane Ridge Rd
Antioch, TN 37013-3839
Phone
(615) 846-4545
NPI assigned
Jul 30, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77190 TN Primary
Occupational Medicine Physician 2083X0100X 77190 TN

Addresses

Primary practice location

5304 Cane Ridge Rd
Antioch, TN 37013-3839

Mailing address

909 Clarion Dr
Gillette, WY 82718-3901
Phone (858) 395-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112003789 WY Practitioner - Internal Medicine 7517120082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16129 Highland Valley Rd
Escondido, CA 92025-3548

2000 Health Park Dr
Brentwood, TN 37027-4692

3502 40TH St
Lubbock, TX 79413-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77190TNMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Feb 1, 2026 Accepting new patients
Urgent Care Enterprise LLC CurrentSince Aug 15, 2026 Accepting new patients
Hoskinson Health & Wellness Clinic LLC Internal Medicine Past Accepting new patients
Scripps Health Occupational Medicine Past Accepting new patients
Carespot of Murfreesboro (1340 Broad Street), LLC PastSince Aug 15, 2026 Accepting new patients

Locations

5304 Cane Ridge Rd
Cane Ridge, TN 37013
Phone (615) 372-3359

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1720093495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 CLARION DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827183901",
            "telephone_number": "858-395-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 CANE RIDGE RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133839",
            "telephone_number": "615-846-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "BRADLEY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "77190",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "77190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.