Active NPI
Brady Bernard Ratliff, PHARMD
- Pharmacist
- Bristol, VA
National Provider Identifier
1891446787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45141
- Practice address
- 31 E Valley Dr
Bristol, VA 24201-2822 - Phone
- (276) 669-4640
- NPI assigned
- Jan 12, 2022
- Last updated
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020220426 | VA | |
| Pharmacist | 183500000X | 45141 | TN | Primary |
Addresses
Primary practice location
31 E Valley Dr
Bristol, VA 24201-2822
Mailing address
38 Meadows Edge CT
Jonesborough, TN 37659-4482
Phone (276) 494-3005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45141 | Other | TN | TENNESSEE BOARD OF PHARMACY |
| 020220426 | Other | VA | VIRGINIA BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45141 | TN | MD | Pharmacist |
| 020220426 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1891446787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 MEADOWS EDGE CT",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376594482",
"telephone_number": "276-494-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 E VALLEY DR",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242012822",
"telephone_number": "276-669-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "BRADY",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "020220426",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF PHARMACY",
"identifier": "45141",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PHARMACY",
"identifier": "020220426",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, VA
- Professional Pharmaceutical Services, Inc. (Buntings & Northside Drugcenter)
- Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - North Bristol)
- Laken Bryanne Puckett, M.S. ATC
- Deborah Leachman Quesenberry, RDN, LDN
- Gracelyn K Ralston, STUDENT NURSE TECH
- Anna Jolene Reed, LPC-MHSP
- Rehabilitation Hospital of Bristol, LLC (Rehab Hosp of Bristol, a JV of Ballad Health and Encompass Health)
- Shelbi L Releford, DPT
- Renaissance Medical Care
- Renaissance Medical Center (Renaissance Medical Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.