| Bradley Physician Services, Llc | |
|
2305 Chambliss Ave Nw Cleveland TN 37311-3847 | |
| (423) 728-1650 | |
| Not Available |
| Full Name | Bradley Physician Services, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2305 Chambliss Ave Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Randall Foster (EXECUTIVE DIRECTOR, FINANCIAL SERVI) |
| Authorized Official Contact | 7062726124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Physician Services, Llc Po Box 1900 Dalton GA 30722-1900 Ph: (423) 728-1650 | Bradley Physician Services, Llc 2305 Chambliss Ave Nw Cleveland TN 37311-3847 Ph: (423) 728-1650 |
| NPI Number | 1710727540 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 8123563392 |
|---|---|
| Medicare Enrollment ID | O20240711003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710727540 | NPI | - | NPPES |
| Provider Name | Steven K Austin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518073998 PECOS PAC ID: 9739083437 Enrollment ID: I20031124000698 |
| Provider Name | Cecil B Breetzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629142955 PECOS PAC ID: 0840252300 Enrollment ID: I20041028000130 |
| Provider Name | Obadias Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597546 PECOS PAC ID: 4880678135 Enrollment ID: I20050801001209 |
| Provider Name | Kamran Farrukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760447205 PECOS PAC ID: 5597795740 Enrollment ID: I20050817000282 |
| Provider Name | Azhar S Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013972538 PECOS PAC ID: 2365472529 Enrollment ID: I20050817000332 |
| Provider Name | Kelley L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023148343 PECOS PAC ID: 8426066671 Enrollment ID: I20060329000410 |
| Provider Name | Benjamin Scott Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356481030 PECOS PAC ID: 4082703285 Enrollment ID: I20071210000609 |
| Provider Name | Jesus M Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063664647 PECOS PAC ID: 6800951773 Enrollment ID: I20090210000733 |
| Provider Name | Kent D Childs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427022714 PECOS PAC ID: 3072640978 Enrollment ID: I20100426000226 |
| Provider Name | Eric Guerra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801863105 PECOS PAC ID: 2668596578 Enrollment ID: I20100830000681 |
| Provider Name | Harrison G Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568413219 PECOS PAC ID: 6002008075 Enrollment ID: I20101008000391 |
| Provider Name | David Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427368943 PECOS PAC ID: 1557540259 Enrollment ID: I20110127000341 |
| Provider Name | Anders E Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902049836 PECOS PAC ID: 4789840307 Enrollment ID: I20120726000564 |
| Provider Name | Susan G Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457305161 PECOS PAC ID: 5991808669 Enrollment ID: I20120730000028 |
| Provider Name | Selwin Abraham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649425430 PECOS PAC ID: 1153561006 Enrollment ID: I20130717000502 |
| Provider Name | Dana Michelle Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259324 PECOS PAC ID: 0840424693 Enrollment ID: I20140311000424 |
| Provider Name | Taylor C Bear |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801019617 PECOS PAC ID: 2365541455 Enrollment ID: I20140811001392 |
| Provider Name | Asma N Khatri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033436837 PECOS PAC ID: 9436392859 Enrollment ID: I20150803002161 |
| Provider Name | Jateum M Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265818983 PECOS PAC ID: 6002124880 Enrollment ID: I20150928001841 |
| Provider Name | Trevor Lee Alverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184179558 PECOS PAC ID: 9234426131 Enrollment ID: I20160920002948 |
| Provider Name | Tabetha M Ewton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255852299 PECOS PAC ID: 9133494834 Enrollment ID: I20171005002517 |
| Provider Name | Michael L Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205931565 PECOS PAC ID: 4688681430 Enrollment ID: I20180628003022 |
| Provider Name | Daniel Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992082838 PECOS PAC ID: 5698021939 Enrollment ID: I20180628003607 |
| Provider Name | Lana Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856480 PECOS PAC ID: 4688911910 Enrollment ID: I20190124002620 |
| Provider Name | Maurice Aaron Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999021 PECOS PAC ID: 2961649728 Enrollment ID: I20200102000938 |
| Provider Name | Diana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548866866 PECOS PAC ID: 5193131910 Enrollment ID: I20210302003037 |
| Provider Name | James Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871783522 PECOS PAC ID: 6103952619 Enrollment ID: I20210827001990 |
| Provider Name | Wei-ning E Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598261620 PECOS PAC ID: 2466717053 Enrollment ID: I20210923001110 |
| Provider Name | Rachel A Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235809021 PECOS PAC ID: 7719377514 Enrollment ID: I20211210000604 |
| Provider Name | Brooke Booher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306462478 PECOS PAC ID: 6709279623 Enrollment ID: I20220216002316 |
| Provider Name | Theodore Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760892095 PECOS PAC ID: 9335443852 Enrollment ID: I20220825000759 |
| Provider Name | Avan Jaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316406614 PECOS PAC ID: 3072843358 Enrollment ID: I20220912001575 |
| Provider Name | Bassam Ibrahim Alzagatiti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831136738 PECOS PAC ID: 8729144902 Enrollment ID: I20230306001945 |
| Provider Name | Melissa Gail Hixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464447 PECOS PAC ID: 1153657689 Enrollment ID: I20231101001415 |
| Provider Name | Amber Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359309 PECOS PAC ID: 4284003500 Enrollment ID: I20231117000695 |
| Provider Name | Jennifer Elaine O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407610090 PECOS PAC ID: 5294171609 Enrollment ID: I20240307002976 |
| Provider Name | John Beckner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538212519 PECOS PAC ID: 9537067665 Enrollment ID: I20241016004577 |
| Provider Name | Anand Kenia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891990719 PECOS PAC ID: 0446473417 Enrollment ID: I20250118000009 |
| Provider Name | Janella Kristen Killingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891516464 PECOS PAC ID: 8527597855 Enrollment ID: I20250130003104 |
| Provider Name | Zorana Mrsic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760823041 PECOS PAC ID: 3779801196 Enrollment ID: I20250304000281 |
| Provider Name | Vineet Dua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447291216 PECOS PAC ID: 9234142464 Enrollment ID: I20250304002788 |
| Provider Name | Darrin Bartell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821877788 PECOS PAC ID: 3971021817 Enrollment ID: I20250515000465 |
| Provider Name | David Liff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699951921 PECOS PAC ID: 2769647916 Enrollment ID: I20250522002084 |
Community Direct Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Westside Dr Nw Ste A2, Cleveland, TN 37312 Phone: 423-564-8018 Fax: 423-674-3474 | |
1977 Mesk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Oakland Dr Nw, Cleveland, TN 37312 Phone: 315-569-5318 | |
Cleveland Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Benchmark Healthcare Service Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103 | |
Donald E Robinson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Executive Park Nw, Suite B, Cleveland, TN 37312 Phone: 423-476-7584 Fax: 423-476-7586 | |
Michael Moffatt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Clingan Ridge Dr. Nw, Cleveland, TN 37312 Phone: 423-339-3340 Fax: 423-339-9927 | |
Physician Onsite, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 |