NPIMap

Individual provider Active NPI

Abigail Lee Bradner, MD

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1750840146
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
71239 Issued in TN
Practice address
2201 Murphy Ave Ste 303
Nashville, TN 37203-1895
Phone
(615) 628-8064
Fax
(877) 297-3060
NPI assigned
Mar 15, 2019
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 71239 TN Primary

Addresses

Primary practice location

2201 Murphy Ave Ste 303
Nashville, TN 37203-1895

Mailing address

2201 Murphy Ave Ste 303
Nashville, TN 37203-1895
Phone (615) 628-8064

Other practice location 1

101 Stadium Dr
Morgantown, WV 26506-7911
Phone (304) 598-4850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710004747 TN Practitioner - Nephrology 8224573506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kidney Specialists PLCGroup PAC ID 2264671023, 8 clinicians

Practice addresses (Care Compare)

2201 Murphy Ave
Suite 303
Nashville, TN 37203-1895
Phone (615) 628-8064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71239TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kidney Specialists, PLC Nephrology CurrentSince May 1, 2024 Accepting new patients

Locations

2201 Murphy Ave
Ste 303
Nashville, TN 37203
Phone (615) 329-4646

395 Wallace Rd
Ste 301
Nashville, TN 37211
Phone (615) 834-1760

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

Organizations & group practices 1

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 8

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1750840146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 303",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031895",
            "telephone_number": "615-628-8064",
            "fax_number": "877-297-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 303",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031895",
            "telephone_number": "615-628-8064",
            "fax_number": "877-297-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADNER",
        "first_name": "ABIGAIL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "71239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.