Individual provider Active NPI

Bradford Daniel Pendley, PH.D., M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1750506861
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000045753 Issued in TN
Practice address
3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone
(901) 458-0162
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000045753 TN Primary

Addresses

Primary practice location

3109 Walnut Grove Rd
Memphis, TN 38111-3509

Mailing address

3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 458-0162

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804001037 TN Practitioner - Internal Medicine 6002949518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honeycomb Medical Group PLCGroup PAC ID 2668837204, 16 clinicians

Practice addresses (Care Compare)

6401 Poplar Ave
Suite 600
Memphis, TN 38119-4808
Phone (901) 753-3322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000045753TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Internal Medicine CurrentSince Jan 18, 2018 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jan 18, 2018 Accepting new patients
Honeycomb Medical Group PLC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients

Locations

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD
  • Direct secure messaging: bpendley13952@direct.bmhcc.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1750506861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113509",
            "telephone_number": "901-458-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113509",
            "telephone_number": "901-458-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLEY",
        "first_name": "BRADFORD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000045753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.