BRADLEY PEDIATRICS
NPI 1154417152
Specialist in Cleveland, TN

Active since October 05, 2006
2825 WESTSIDE DR NW, STE C, CLEVELAND, TN 37312(423) 614-3733(423) 614-3738 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Pediatrics NPPES

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

BRADLEY PEDIATRICS (NPI 1154417152) is a healthcare organization registered as a specialist in Cleveland, Tennessee and active in the NPI registry since October 2006. The organization lists Brandi Bivens, Coding Supervisor, as its authorized official.

NPPES Registry Identity

NPI1154417152
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRADLEY PEDIATRICS
Location Address2825 WESTSIDE DR NW, STE CCleveland, TN 37312-3505
Mailing Address2825 Westside Dr Nw, Ste CCleveland, TN 37312-3505 · (423) 614-3733 · Fax (423) 614-3738
Fax(423) 614-3738
Organization SubpartNo
Authorized OfficialBrandi BivensCoding Supervisor · (423) 339-2330
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 10, 2015
NPI 1154417152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 21336
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2825 WESTSIDE DR NW, Cleveland, TN 37312

Other Identifiers 1

Medicare UPINF19025TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2825 WESTSIDE DR NW
CLEVELAND, TN 37312
Nurse Practitioner (Family)
2825 WESTSIDE DR NW, SUITE C
CLEVELAND, TN 37312

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 Bradley Pediatrics's NPI number?

The NPI number for Bradley Pediatrics is 1154417152. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Bradley Pediatrics located?

Bradley Pediatrics is located at 2825 Westside Dr NW Ste C, Cleveland, TN 37312. The listed phone number is (423) 614-3733.

What is Bradley Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bradley Pediatrics was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.