| Dr Jerry Wayne Bradley, MD | |
|
709 Middle Creek Rd, Sevierville, TN 37862-5047 | |
| (865) 453-7111 | |
| Not Available |
| Full Name | Dr Jerry Wayne Bradley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 709 Middle Creek Rd, Sevierville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558303644 | NPI | - | NPPES |
| 64035868 | Medicaid | KY | |
| P00312146 | Other | TN | RAILROAD MEDICARE |
| 3847471 | Medicaid | TN | |
| 3154694 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD0000014371 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Leconte Medical Center | Sevierville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Coverage Llc | 3072412592 | 530 |
| Hospital Medicine Services Of Tennessee Pc | 9234432881 | 139 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Wayne Bradley, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Dr Jerry Wayne Bradley, MD 709 Middle Creek Rd, Sevierville, TN 37862-5047 Ph: (865) 453-7111 |
Dr. Kenneth Neil Shaw, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 709 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-453-7111 | |
Edmund Joseph Timpano, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-466-7000 | |
Mary Frances Dukes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7000 | |
Dr. Evann Max Herrell, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7000 | |
Zeke Oliver, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7000 | |
Benjamin Huston Murphy, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7000 | |
Carol R. Parks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3158 Smokies Edge Road, Sevierville, TN 37862 Phone: 865-429-2331 |