BRADLEY URGENT CARE
NPI 1316124852
Internal Medicine in Cleveland, TN
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Bradley Urgent Care, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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 Urgent Care Centers Of East Tennessee, P.C.'s NPI number?
The NPI number for Urgent Care Centers Of East Tennessee, P.C. is 1316124852. It was assigned to this organization in the NPPES registry on January 28, 2008. The provider is doing business as Bradley Urgent Care.
Where is Urgent Care Centers Of East Tennessee, P.C. located?
Urgent Care Centers Of East Tennessee, P.C. is located at 4021 Keith St NW, Cleveland, TN 37312. The listed phone number is (423) 476-2464.
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.
Is Urgent Care Centers Of East Tennessee, P.C. enrolled in Medicare?
Yes. Urgent Care Centers Of East Tennessee, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Urgent Care Centers Of East Tennessee, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Urgent Care Centers Of East Tennessee, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Urgent Care Centers Of East Tennessee, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D1082304) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Urgent Care Centers Of East Tennessee, P.C. was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bradley Urgent Care · NPI 1316124852
Internal Medicine organization in Cleveland, Tennessee. Organization record, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1316124852 (Entity type: Organization)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Urgent Care Centers Of East Tennessee, P.c.
- **Organization subpart:** No
- **Authorized official:** Mahmood Siddiqui, PRESIDENT
## Practice location
- **Address:** 4021 KEITH ST NW, Cleveland, TN 37312-4341
- **Phone:** (423) 476-2464 · **Fax:** (423) 476-1008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Internal Medicine (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316124852) · Data from the CMS NPPES public registry.