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KATHERINE ELAINE BRADLEY FNP
NPI 1154416329
Nurse Practitioner - Family in Bristol, TN

Active since October 04, 2006
615 VOLUNTEER PARKWAY, BRISTOL, TN 37620(423) 989-3223 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine Elaine Bradley Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ELAINE BRADLEY FNP (NPI 1154416329) is an individual family provider in Bristol, Tennessee, licensed in Virginia (0017138087) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154416329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE ELAINE BRADLEYCredential: FNP
Location Address615 VOLUNTEER PARKWAYBristol, TN 37620
Mailing Address1642 Snowflake RdGate City, VA 24251-4142 · (423) 963-0016
Phone(423) 989-3223
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 12, 2014
✔ NPI 1154416329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0017138087
615 VOLUNTEER PARKWAY, Bristol, TN 37620
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Other Names 1

Former Name (1)Katherine Elaine Yeary Fnp

Other Identifiers 9

Other020684999VA · Tax Id
Medicaid4046961TN
Other4100703TN · Blue Cross/blue Shield
Medicare UPINP88673VA
Medicaid4401061TN
Medicare ID-Type UnspecifiedC08719VA · Group Medicare
OtherTN0103VA · John Deere
Medicare ID-Type Unspecified005540M19VA
OtherDA3103VA · Railroad Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Bradley's NPI number?

The NPI number for Katherine Bradley is 1154416329. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Katherine Elaine Yeary Fnp.

Where is Katherine Bradley located?

Katherine Bradley practices at 615 Volunteer Parkway, Bristol, TN 37620. The listed phone number is (423) 989-3223.

What is Katherine Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katherine Bradley was last updated on September 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.