BRADLEY EXTENDED CARE INC (NPI# 1689610008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689610008 |
| Entity Type | Organization |
| Organization Name | BRADLEY EXTENDED CARE INC |
| Practice Address |
402 53rd Ave N Nashville TN 37209 |
| Practice Telephone | 6153835391 |
| Practice Fax Number | 6153837365 |
| Mailing Telephone | 6153835391 |
| Mailing Fax Number | 6153837365 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | MR. PHILLIP W BRADLEY (PRESIDENT) |
| Authorized Official Telephone | 6153835391 |
| Authorized Official Credential | DPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
4025 | TN | Suppliers |
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4437477 | 05 |
| Street Address |
402 53RD AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930194 | Results-ast Jv, LLC | Physical Therapist | 6816 Charlotte Pike, Suite 103, Nashville, TN 37209 | 2020-10-21 |
| 1215564216 | Mercedes Ann Wirdzek | Registered Nurse | Metro Nashville Public Health, 2500 Charlotte Ave, Nashville, TN 37209 | 2020-03-27 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1588158455 | Tonya Melton | Nurse Practitioner | 1028 Mountain Valley Lane, Nashville, TN 37209 | 2018-06-14 |
| 1740796515 | Jill C Collins, LLC | Behavioral Analyst | 6339 Charlotte Pike # 507, Nashville, TN 37209 | 2017-12-15 |
| 1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1073921656 | Malinda Davenport Crisp | Counselor | 6300 Charlotte Ave., Nashville, TN 37209 | 2014-07-28 |
| Find all providers in zip 37209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447628 | Daniel Lasselle | Pharmacist | 3133 Boulder Park Dr, Nashville, TN 37214-3821 | 2020-11-03 |
| 1669089041 | Victor Ikechukwu Emmanuel | Pharmacist | 107 Charles E Davis Blvd # 2745, Nashville, TN 37210-2745 | 2020-09-29 |
| 1093320285 | Joanna J Porter | Pharmacist | 4021 Meadow Hill Dr, Nashville, TN 37218-1728 | 2020-09-14 |
| 1316557895 | Bailey Kathleen Caudill | Pharmacist | 7604 Hwy 70 S, Nashville, TN 37221-1852 | 2020-08-09 |
| 1558979054 | Jason Schuster | Pharmacist | 1301 Medical Center Dr Ste 1815, Nashville, TN 37232-0028 | 2020-07-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1205457561 | Alec Harrison Sain | Pharmacist | 1732 Lebanon Pike Cir, Nashville, TN 37210-3216 | 2020-04-28 |
| 1427678184 | Kathleen Margaret Larson Rogers | Pharmacist | 117 New Haven Ct, Nashville, TN 37214-3987 | 2020-04-23 |
| 1528687712 | Heang Henry Lim | Pharmacist | 3401 W End Ave Ste 630, Nashville, TN 37203-6891 | 2020-04-08 |
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on BRADLEY EXTENDED CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.