BRADLEY POLK WALK IN CLINIC
NPI 1770929333
Clinic/Center - Rural Health in Ocoee, TN
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
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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 Polk Walk In Clinic 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 Polk Walk In Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
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 44D2060419
Bradley-Polk Walk-In Clinic · Ocoee, 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 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.
Is Bradley Polk Walk In Clinic enrolled in Medicare?
Yes. Bradley Polk Walk In Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bradley Polk Walk In Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Bradley Polk Walk In Clinic. 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 (14), Internal Medicine (1) and Pulmonary Disease (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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.
# Bradley Polk Walk In Clinic · NPI 1770929333
Rural Health organization in Ocoee, Tennessee. Organization record, active in the CMS NPPES registry since May 21, 2013.
## Identity
- **NPI:** 1770929333 (Entity type: Organization)
- **Enumerated:** May 21, 2013
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Tami Brehen, CO-OWNER
## Practice location
- **Address:** 119 WHITE WATER DR, Ocoee, TN 37361-3645
- **Phone:** (423) 299-9435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Internal Medicine (1), Pulmonary Disease (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2019
- **Other identifiers:** Medicaid Q002302 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770929333) · Data from the CMS NPPES public registry.