Individual provider Active NPI

Bradley K Hatcher, NP-C

  • Family Nurse Practitioner
  • Ripley, MS
National Provider Identifier
1740612878
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904210 Issued in MS
Practice address
1005A City Ave N
Ripley, MS 38663-1414
Phone
(662) 837-2202
NPI assigned
Jul 31, 2013
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17800 TN
Family Nurse Practitioner 363LF0000X 904210 MS Primary

Addresses

Primary practice location

1005A City Ave N
Ripley, MS 38663-1414

Mailing address

1005A City Ave N
Ripley, MS 38663-1414
Phone (662) 837-2202

Other practice location 1

15166 Rankin Ave
Dunlap, TN 37327-7039
Phone (423) 949-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127002712 MS Practitioner - Nurse Practitioner 1557585445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tippah County HospitalGroup PAC ID 5193746709, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

1005 -A City Ave N
Ripley, MS 38663-1414

1005 City Ave N
Ripley, MS 38663-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904210MSMDFamily Nurse Practitioner
17800TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince Feb 1, 2021 Accepting new patients
Tippah County Hospital CurrentSince Sep 5, 2026 Accepting new patients
Tippah County Hospital Current Accepting new patients
Tippah County Hospital CurrentSince Feb 1, 2021 Accepting new patients
Tippah County Hospital CurrentSince Feb 1, 2021 Accepting new patients
Tippah County Hospital Past Accepting new patients
Mountain Bend Medical Associates PLLC PastSince Mar 9, 2024 Accepting new patients

Locations

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

1005 City Ave N
#B
Ripley, MS 38663
Phone (662) 837-2261

1009 City Ave N
Ripley, MS 38663
Phone (662) 539-7444

1009 City Ave N
Ste C
Ripley, MS 38663
Phone (662) 837-2245

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1740612878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005A CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005A CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15166 Rankin Ave",
            "address_purpose": "LOCATION",
            "city": "Dunlap",
            "state": "TN",
            "postal_code": "373277039",
            "country_code": "US",
            "telephone_number": "423-949-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.