BRADLEY URGENT CARE - NPI 1316124852 - Internal Medicine in Cleveland, TN

Q: What is Urgent Care Centers Of East Tennessee, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Bradley Urgent Care NPPES

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

BRADLEY URGENT CARE (NPI 1316124852) is a healthcare organization registered as an internal medicine in Cleveland, Tennessee and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Mahmood A Siddiqui, President, as its authorized official.

NPPES Registry Identity

NPI1316124852

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameURGENT CARE CENTERS OF EAST TENNESSEE, P.C.

Location Address4021 KEITH ST NWCleveland, TN 37312-4341

Mailing Address4021 Keith St NwCleveland, TN 37312-4341 · (423) 476-2464 · Fax (423) 478-1008

Phone(423) 476-2464

Fax(423) 476-1008

Organization SubpartNo

Authorized OfficialMahmood A SiddiquiPresident · (423) 496-9214

Enumeration DateJanuary 28, 2008

Last NPPES UpdateMay 14, 2019

✔ NPI 1316124852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4021 KEITH ST NW, Cleveland, TN 37312

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Other Names 1

Doing Business AsBradley Urgent Care

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1082304

Urgent Care Centers Of East Tn PC Dba Bradley Urgent Care · Cleveland, TN

Active · expires Mar 24, 2027

CLIA Number44D1082304

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2025

Certificate Expiration DateMarch 24, 2027

Laboratory DirectorDr. Mahmood A. Siddiqui

Laboratory Phone(423) 476-2464

Laboratory LocationUrgent Care Centers Of East Tn PC Dba Bradley Urgent Care4021 Keith St NW, Cleveland, TN 37312

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BRITTNEY BRAY KETTINGER PA-C

Physician Assistant