Individual provider Active NPI

Tiffany Denise Bradley, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1740875251
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5509 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-1734
Phone
(615) 322-3000
NPI assigned
Mar 5, 2021
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8732 AZ
Physician Assistant 363A00000X 5509 TN Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-1734

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

342 Frey St
Ashland City, TN 37015-1734
Phone (615) 792-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230621001414 TN Practitioner - Physician Assistant 3375935448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

134 Pewitt Dr
Suite 200
Brentwood, TN 37027-5208
Phone (615) 371-2481

2608 8TH Ave S
Nashville, TN 37204-2584

3098 Campbell Station Pkwy
Spring Hill, TN 37174-6270
Phone (615) 302-1111

3841 Green Hills Dr
Suite 200
Nashville, TN 37215-2691

3841 Green Hills Village Dr
Nashville, TN 37215-2691
Phone (615) 322-8701

56 White Bridge Pike
Nashville, TN 37205-1411
Phone (615) 875-1000

7069B Hwy 70 S
Nashville, TN 37221-2207
Phone (615) 514-5352

919 Murfreesboro Rd
Franklin, TN 37064-3002
Phone (615) 791-7373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
87.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8732AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RHC Group PLLC CurrentSince Sep 1, 2023 Accepting new patients
Vanderbilt University Past Accepting new patients
Vanderbilt Health Clinicians, LLC Physician Assistant Past Accepting new patients

Locations

342 Frey St
Ashland City, TN 37015
Phone (615) 792-1199

2557 Highway 41 S
Greenbrier, TN 37073
Phone (615) 643-4534

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Interoperability endpoints

  • Direct secure messaging: tbradley823196@direct.vumc.org

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 1

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1740875251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372321734",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Frey St",
            "address_purpose": "LOCATION",
            "city": "Ashland City",
            "state": "TN",
            "postal_code": "370151734",
            "country_code": "US",
            "telephone_number": "615-792-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TIFFANY",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8732",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5509",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.