Individual provider Active NPI

Bradley Paul Carter, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Knoxville, TN
National Provider Identifier
1801845821
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
MD0000036304 Issued in TN
Practice address
2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570
Phone
(865) 522-6097
Fax
(865) 540-1615
NPI assigned
May 8, 2006
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MD0000036304 TN Primary

Addresses

Primary practice location

2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570

Mailing address

6350 W a J Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradley.carter.p1@direct.cherokeehealth.nextgenshare.com Direct

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
I20100901000193 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3375667108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

2202 Martin Luther King Jr Ave
Knoxville, TN 37915-1570
Phone (865) 522-6097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000036304TNMDAdolescent Medicine (Internal Medicine) Physician
24040ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Jun 1, 2010 Accepting new patients
Cherokee Health Systems CurrentSince Jun 1, 2010 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

3360 Highway 411 N
Englewood, TN 37329
Phone (423) 887-5131

1754 Texas Ave
Knoxville, TN 37921
Phone (865) 934-6120

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

2202 Martin Luther King Jr Ave
Knoxville, TN 37915
Phone (865) 522-6097

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: bradley.carter.p1@direct.cherokeehealth.nextgenshare.com

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, 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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1801845821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W A J HWY",
            "address_2": "DEPARTMENT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MARTIN LUTHER KING JR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379151570",
            "telephone_number": "865-522-6097",
            "fax_number": "865-540-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRADLEY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "MD0000036304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.carter.p1@direct.cherokeehealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message Address",
            "address_1": "2202 Martin Luther King Jr Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379151570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.