Active NPI
Robert Wilder Bradsher III, MD
- Hospitalist Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 50878
- Practice address
- 1265 Union Ave
Memphis, TN 38104-3415 - Phone
- (901) 516-8255
- NPI assigned
- Mar 24, 2011
- Last updated
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50878 | TN | |
| Hospitalist Physician | 208M00000X | 50878 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 9663 | AR |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104-3415
Mailing address
251 S Claybrook Ave
2ND Floor, Med Ed
Memphis, TN 38104
Phone (901) 516-8255
Other names 1
- Rob Bradsher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9663 | AR | MD | Internal Medicine Physician |
| 50878 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Methodist Inpatient Physicians LLC | Internal Medicine | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center Inc. | Internal Medicine | Past | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
830 S Gloster St
Ste B
Tupelo, MS 38801
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- ibradsher615539@direct.bmhcc.org
- rbradsher31976@mlh.direct-ci.com
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba NMMC Specialty Service
- Family Nurse Practitioner
- Tupelo, MS
- NPI 1467948687
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
dba Medical Center Hospitalists
- Internal Medicine Physician
- Tupelo, MS
- NPI 1609243351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1891094272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 S CLAYBROOK AVE",
"address_2": "2ND FLOOR, MED ED",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-516-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043415",
"telephone_number": "901-516-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHER",
"first_name": "ROBERT",
"middle_name": "WILDER",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "50878",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "50878",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "9663",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROB",
"last_name": "BRADSHER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.