BRADLEY PLACE
NPI 1639237662
Assisted Living Facility in Tifton, GA

Active since December 04, 2006
418 NORTH PARK AVE, TIFTON, GA 31794(229) 386-9789(229) 386-9307 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Place NPPES

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

BRADLEY PLACE (NPI 1639237662) is a healthcare organization registered as an assisted living facility in Tifton, Georgia and active in the NPI registry since December 2006. The organization lists William C Byrd, Owner President, as its authorized official.

NPPES Registry Identity

NPI1639237662
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLIAM C BYRD INC
Location Address418 NORTH PARK AVETifton, GA 31794
Mailing AddressPo Box 890Tifton, GA 31793 · (229) 382-8655 · Fax (229) 382-7011
Fax(229) 386-9307
Organization SubpartNo
Authorized OfficialWilliam C ByrdOwner President · (229) 382-8655
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1639237662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
418 NORTH PARK AVE, Tifton, GA 31794

Other Names 1

Doing Business AsBradley Place

Other Identifiers 1

Medicaid00747766BGA

Other Providers at the Same Location NPPES

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

Assisted Living Facility
418 NORTH PARK AVE
TIFTON, GA 31794

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 William C Byrd Inc's NPI number?

The NPI number for William C Byrd Inc is 1639237662. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Bradley Place.

Where is William C Byrd Inc located?

William C Byrd Inc is located at 418 North Park Ave, Tifton, GA 31794. The listed phone number is (229) 386-9789.

What is William C Byrd Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for William C Byrd Inc was last updated on August 22, 2020. 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.