DR. JEREMY GILLIAM BRADLEY M.D.
NPI 1922362722
Pediatrics in Waverly, TN

Active since June 27, 2012PECOS Enrolled
300 S CLYDETON RD, WAVERLY, TN 37185(931) 296-2737(931) 296-1656 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2025, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Jeremy Gilliam Bradley M.d. NPPES

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

DR. JEREMY GILLIAM BRADLEY M.D. (NPI 1922362722) is an individual pediatrics provider in Waverly, Tennessee, licensed in Tennessee (74029) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922362722
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JEREMY GILLIAM BRADLEYCredential: M.D.
Location Address300 S CLYDETON RDWaverly, TN 37185-2140
Mailing Address127 Crestview Park Dr Ste 209Dickson, TN 37055-2856 · (615) 446-5121 · Fax (615) 446-1359
Fax(931) 296-1656
Sole ProprietorNo
Enumeration DateJune 27, 2012
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1922362722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 74029
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 S CLYDETON RD, Waverly, TN 37185

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Gilliam Bradley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37185 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Rural Health)
300 S CLYDETON RD
WAVERLY, TN 37185
Pediatrics
300 S CLYDETON RD
WAVERLY, TN 37185
Pediatrics
300 S CLYDETON RD
WAVERLY, TN 37185
Nurse Practitioner (Family)
300 S CLYDETON RD
WAVERLY, TN 37185
Clinic/Center (Primary Care)
300 S CLYDETON RD
WAVERLY, TN 37185

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 Jeremy Bradley's NPI number?

The NPI number for Jeremy Bradley is 1922362722. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Jeremy Bradley located?

Jeremy Bradley practices at 300 S Clydeton Rd, Waverly, TN 37185. The listed phone number is (931) 296-2737.

What is Jeremy Bradley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeremy Bradley enrolled in Medicare?

Yes. Jeremy Bradley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Bradley reassigns Medicare benefits to Childrens Hospital Of The Kings Daughters Inc (Norfolk, VA). The 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 Jeremy Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Bradley accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Jeremy Bradley 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 Jeremy Bradley was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.