Samuel Bradberry (NPI# 1588644397, PAC ID# 7911042528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588644397 |
| PAC ID by PECOS | 7911042528 |
| Professional Enrollment ID | I20100308000443 |
| Full Name | Samuel Bradberry |
| Organization Legal Name | DYERSBURG FAMILY WALK-IN CLINIC |
| Address |
1954 Saint John Ave Suite 1 Dyersburg TN 38024-2034 |
| Phone Number | 7312858247 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991793879 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440130 | BAPTIST MEMORIAL HOSPITAL UNION CITY |
| 440132 | HENRY COUNTY MEDICAL CENTER |
| 440061 | VOLUNTEER COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 | 7312858247 | DYERSBURG FAMILY WALK-IN CLINIC |
| 2017 St John Ave B, Dyersburg, TN 38024-2209 | 7312856110 | DYERSBURG FAMILY WALK-IN CLINIC |
| Organization Legal Name | DYERSBURG FAMILY WALK-IN CLINIC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Parks | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1509 E Reelfoot Ave, Union City, TN 38261-5845 |
| Tammy L Javellana | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Deborah S Nale | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Kelly S Barnes | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Jan A Sims | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Brandi Nicole Rose | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Monica Whorton | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Michael L Hall | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Ashley Baker | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Jonathan Edgar Searcy | Clinical Social Worker | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Street Address |
1954 SAINT JOHN AVE SUITE 1 |
| City | DYERSBURG |
| State | TN |
| Zip | 38024-2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Javellana | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Deborah S Nale | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Kelly S Barnes | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Jan A Sims | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Brandi Nicole Rose | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Monica Whorton | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Michael L Hall | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Ashley Baker | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Jonathan Edgar Searcy | Clinical Social Worker | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Brandon H. Pate | Nurse Practitioner | Dyersburg Family Walk-in Clinic | 1954 Saint John Ave, Suite 1, Dyersburg, TN 38024-2034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy W Gatlin | Chiropractic | 1800 St John Ave, Dyersburg, TN 38024 | |
| Timothy D Sweo | Orthopedic Surgery | Noma PC | 1855 Hwy 51 Bypass, Suite B, Dyersburg, TN 38024 |
| James E Naifeh | Family Medicine | 640 Hwy 51 Bypass, Suite E, Dyersburg, TN 38024 | |
| James Tetleton | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Keata Anthony | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Kelly Lusk | Chiropractic | 1150 Hwy 51 By-pass W, Suite A, Dyersburg, TN 38024-0001 | |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Becky Bruce | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| William R Turner | Family Medicine | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Kelley C Burg | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Find all physicians in zip 38024 | |||
| City | DYERSBURG |
| Zip Code | 38024 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DYERSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel Bradberry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.