Bradley Austin Proctor, PHARMD

Primary specialty

Emergency Medicine PharmacistTaxonomy code 1835E0208X

License

43601 Issued in TN

Practice address

2525 Desales Ave
Chattanooga, TN 37404-1161

Phone

(423) 495-2525

NPI assigned

May 26, 2025

Last updated

May 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1861285595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 PASSENGER ST APT 119",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081366",
            "telephone_number": "706-464-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DESALES AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041161",
            "telephone_number": "423-495-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "BRADLEY",
        "middle_name": "AUSTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835E0208X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Emergency Medicine",
            "state": "GA",
            "license": "RPH031361",
            "primary": false
        },
        {
            "code": "1835E0208X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Emergency Medicine",
            "state": "TN",
            "license": "43601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.