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BRADLEY POLK WALK IN CLINIC
NPI 1770929333
Clinic/Center - Rural Health in Ocoee, TN

Active since May 21, 2013CLIA 44D2060419 · Waiver
119 WHITE WATER DR, OCOEE, TN 37361(423) 299-9435 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Bradley Polk Walk In Clinic NPPES

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

BRADLEY POLK WALK IN CLINIC (NPI 1770929333) is a healthcare organization registered as a rural health in Ocoee, Tennessee and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Tami Solberg Brehen, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1770929333
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBRADLEY POLK WALK IN CLINIC
Location Address119 WHITE WATER DROcoee, TN 37361-3645
Mailing Address119 White Water DrOcoee, TN 37361-3645 · (423) 299-9435 · Fax (423) 299-9436
Phone(423) 299-9435
Organization SubpartNo
Authorized OfficialTami Solberg BrehenCo-owner · (423) 299-9435
Enumeration DateMay 21, 2013
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1770929333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN15727 (TN)
119 WHITE WATER DR, Ocoee, TN 37361
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ002302TN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 44D2060419

Bradley-Polk Walk-In Clinic · Ocoee, TN
Active · expires Jun 10, 2027
CLIA Number44D2060419
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorTami S. Brehen
Laboratory Phone(423) 299-9435
Laboratory LocationBradley-Polk Walk-In Clinic119 Whitewater Dr, Ocoee, TN 37361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JAYE HOLLAND HARRIS PA-C
Physician Assistant
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435
RACHEL HARWOOD DNP, FNP-C
Nurse Practitioner (Family)
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435
YVONNE ELIZABETH BIGGS FNP-C
Nurse Practitioner (Family)
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435
VICTORIA KNIGHT
Nurse Practitioner (Family)
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9437
MRS. DORA D. TRIVETTE RN, APN
Nurse Practitioner (Family)
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435
MS. KAITLIN WEEKS PA
Physician Assistant
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435
STEPHANIE JULIENNE HAMEL
Nurse Practitioner (Acute Care)
119 WHITE WATER DR
OCOEE, TN 37361
Polk County (423) 299-9435

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 Polk Walk In Clinic's NPI number?

The NPI number for Bradley Polk Walk In Clinic is 1770929333. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Bradley Polk Walk In Clinic located?

Bradley Polk Walk In Clinic is located at 119 White Water Dr, Ocoee, TN 37361. The listed phone number is (423) 299-9435.

What is Bradley Polk Walk In Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Bradley Polk Walk In Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2060419) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bradley Polk Walk In Clinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bradley Polk Walk In Clinic 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 Polk Walk In Clinic was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.