BRAD A BROYLES
NPI 1205425048
Registered Nurse in Johnson City, TN

Q: What is Brad Broyles's NPI number?

The NPI number for Brad Broyles is 1205425048. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Q: What is Brad Broyles's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Brad Broyles was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 15, 2021

809 LAMONT ST, JOHNSON CITY, TN 37604(423) 926-1171 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brad A Broyles NPPES

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

BRAD A BROYLES (NPI 1205425048) is an individual registered nurse in Johnson City, Tennessee, licensed in Tennessee (192310) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1205425048

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameBRAD A BROYLES

Location Address809 LAMONT STJohnson City, TN 37604-5453

Mailing Address809 Lamont StJohnson City, TN 37604-5453 · (423) 926-1171

Phone(423) 926-1171

Sole ProprietorNo

Enumeration DateJanuary 15, 2021

NPPES CertifiedJanuary 15, 2021

✔ NPI 1205425048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in TN · 192310

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

809 LAMONT ST, Johnson City, TN 37604

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Other Providers at the Same Location NPPES 20

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

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