BRADSHAW FAMILY MEDICAL, LLC
NPI 1184374092
Family Medicine in Erwin, TN

Active since March 24, 2022
108 GAY ST, ERWIN, TN 37650(423) 388-4525(423) 388-4525 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradshaw Family Medical, Llc NPPES

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

BRADSHAW FAMILY MEDICAL, LLC (NPI 1184374092) is a healthcare organization registered as a family medicine in Erwin, Tennessee and active in the NPI registry since March 2022. The organization lists Pamela Black Bradshaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184374092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRADSHAW FAMILY MEDICAL, LLC
Location Address108 GAY STErwin, TN 37650-1228
Mailing Address108 Gay StErwin, TN 37650-1228 · (423) 388-4525 · Fax (423) 388-4525
Fax(423) 388-4525
Organization SubpartNo
Authorized OfficialPamela Black BradshawCeo · (423) 388-4525
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
NPI 1184374092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
108 GAY ST, Erwin, TN 37650

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 4

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

Nurse Practitioner (Family)
108 GAY ST
ERWIN, TN 37650
Specialist
108 GAY ST
ERWIN, TN 37650
Clinic/Center (Primary Care)
108 GAY ST
ERWIN, TN 37650
Clinic/Center (Primary Care)
108 GAY ST
ERWIN, TN 37650

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 Bradshaw Family Medical, LLC's NPI number?

The NPI number for Bradshaw Family Medical, LLC is 1184374092. It was assigned to this organization in the NPPES registry on March 24, 2022.

Where is Bradshaw Family Medical, LLC located?

Bradshaw Family Medical, LLC is located at 108 Gay St, Erwin, TN 37650. The listed phone number is (423) 388-4525.

What is Bradshaw Family Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bradshaw Family Medical, LLC was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.