BRADLEY PHYSICIAN SERVICES, LLC
NPI 1710727540
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Cleveland, TN

Active since May 29, 2024CLIA Certified · 3 labs
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 728-1650 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bradley Physician Services, Llc NPPES

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

BRADLEY PHYSICIAN SERVICES, LLC (NPI 1710727540) is a healthcare organization registered as an orthopaedic surgery of the spine in Cleveland, Tennessee and active in the NPI registry since May 2024. The organization holds 3 active CLIA laboratory certificates and lists Randall Foster, Executive Director, Financial Servi, as its authorized official.

NPPES Registry Identity

NPI1710727540
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameBRADLEY PHYSICIAN SERVICES, LLC
Location Address2305 CHAMBLISS AVE NWCleveland, TN 37311-3847
Mailing AddressPo Box 1900Dalton, GA 30722-1900 · (423) 728-1650
Organization SubpartNo
Authorized OfficialRandall FosterExecutive Director, Financial Servi · (706) 272-6124
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1710727540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2305 CHAMBLISS AVE NW, Cleveland, TN 37311

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

88

Medicare enrollment records show 88 clinicians reassign Medicare billing to Bradley Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner25
Internal Medicine10
Cardiovascular Disease (Cardiology)8
Obstetrics/Gynecology7
Family Practice6
Physical Therapist in Private Practice6
Neurology5
Critical Care (Intensivists)3
12 other specialties18

Nearest to this location (20)

See all 88
Physical Therapist in Private Practice
NPI 1003784018
2305 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 559-6080
Same address
Nurse Practitioner
NPI 1548866866
2305 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 559-6000
✔ PECOS0.1 mi
Family Practice
NPI 1376292136
2414 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 380-6383
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1427368943
2414 CHAMBLISS AVE NW
Cleveland, TN 37311
(423) 250-5864
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1184359309
2253 CHAMBLISS AVE NW STE 400
Cleveland, TN 37311
(423) 476-5002
✔ PECOS0.1 mi
Neurology
NPI 1801019617
2253 CHAMBLISS AVE NW STE 400
Cleveland, TN 37311
(423) 476-5002
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1912464447
2253 CHAMBLISS AVE NW STE 301
Cleveland, TN 37311
(423) 476-4466
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1891516464
2253 CHAMBLISS AVE NW STE 101
Cleveland, TN 37311
(423) 473-7475
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1124494513
2253 CHAMBLISS AVE NW STE 301
Cleveland, TN 37311
(423) 476-5002
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1265818983
2253 CHAMBLISS AVE NW STE 400
Cleveland, TN 37311
(423) 476-5002
✔ PECOS0.1 mi
Infectious Disease
NPI 1033436837
2253 CHAMBLISS AVE NW STE 400
Cleveland, TN 37311
(423) 664-5165
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1285407551
55 25TH ST NW # 1
Cleveland, TN 37311
(423) 614-3733
✔ PECOS0.2 mi
Endocrinology
NPI 1861612103
2350 N OCOEE ST
Cleveland, TN 37311
(423) 244-9262
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1346538295
2350 N OCOEE ST
Cleveland, TN 37311
(423) 476-5554
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1962656140
2350 N OCOEE ST
Cleveland, TN 37311
(423) 476-5554
✔ PECOS0.2 mi
Orthopedic Surgery
NPI 1093740367
2350 NORTH OCOEE STREET
Cleveland, TN 37311
(423) 476-5554
✔ PECOS0.2 mi
Physical Therapist in Private Practice
NPI 1407910904
2350 N OCOEE ST
Cleveland, TN 37311
(423) 476-5554
0.2 mi
Nurse Practitioner
NPI 1598225179
2350 N OCOEE ST
Cleveland, TN 37311
(423) 476-5554
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1962867655
2350 N OCOEE ST
Cleveland, TN 37311
(423) 244-9296
✔ PECOS0.2 mi
Orthopedic Surgery
NPI 1588956106
2350 N OCOEE STREET
Cleveland, TN 37311
(423) 476-5554
✔ PECOS0.2 mi
See all 88 clinicians

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 3

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 44D2262956

Bradley Physician Services, LLC Dba Bradey Phys Services-Vitruvian Health Primary Care-South · Cleveland, TN
Active · expires Jun 20, 2028
CLIA Number44D2262956
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorCecil B. Breetzke
Laboratory Phone(423) 242-2316
Laboratory LocationBradley Physician Services, LLC Dba Bradey Phys Services-Vitruvian Health Primary Care-South2414 Chambliss Ave NW, Cleveland, TN 37311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2072299

Bradley Physician Services LLC Vitruvian Health Dba Vitruvian Health Heart & Vascular · Cleveland, TN
Active · expires Jan 27, 2028
CLIA Number44D2072299
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorSelwin J. Abraham
Laboratory Phone(423) 476-4466
Laboratory LocationBradley Physician Services LLC Vitruvian Health Dba Vitruvian Health Heart & Vascular2253 Chambliss Ave, Suite 301, Cleveland, TN 37311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2335013

Bradley Physician Services LLC Dba Bradley Endocrinology · Cleveland, TN
Active · expires Dec 3, 2027
CLIA Number44D2335013
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorDr. Prashanth Sekhar
Laboratory Phone(423) 244-9262
Laboratory LocationBradley Physician Services LLC Dba Bradley Endocrinology2350 N Ocoee St Suite 3850, Cleveland, TN 37311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bradley Physician Services, LLC's NPI number?

The NPI number for Bradley Physician Services, LLC is 1710727540. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Bradley Physician Services, LLC located?

Bradley Physician Services, LLC is located at 2305 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 728-1650.

What is Bradley Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Bradley Physician Services, LLC enrolled in Medicare?

Yes. Bradley Physician Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley Physician Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 20 Medicare specialties reassign their Medicare billing to Bradley Physician Services, LLC. 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 (25), Internal Medicine (10) and Cardiovascular Disease (Cardiology) (8). Of these, 1 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bradley Physician Services, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bradley Physician Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bradley Physician Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Physician Services, LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.