| 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 |
| Certification 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 | Michael David Calfee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568518736 PECOS PAC ID: 1557269651 Enrollment ID: I20031229000295 |
| Provider Name | Cynthia M Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063485571 PECOS PAC ID: 5193797462 Enrollment ID: I20040807000154 |
| Provider Name | Cecil B Breetzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629142955 PECOS PAC ID: 0840252300 Enrollment ID: I20041028000130 |
| Provider Name | Larry Shuster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588630891 PECOS PAC ID: 8022071208 Enrollment ID: I20041109000295 |
| Provider Name | Carol Campball Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083689905 PECOS PAC ID: 9537106661 Enrollment ID: I20050411000964 |
| 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 | John S Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003880493 PECOS PAC ID: 9537171046 Enrollment ID: I20060628000113 |
| Provider Name | Benjamin Scott Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356481030 PECOS PAC ID: 4082703285 Enrollment ID: I20071210000609 |
| Provider Name | Rickey L Hutcheson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093740367 PECOS PAC ID: 8628167822 Enrollment ID: I20071210000625 |
| Provider Name | Riaz Q Gill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063442044 PECOS PAC ID: 1951384569 Enrollment ID: I20080919000327 |
| Provider Name | Anthony C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962656140 PECOS PAC ID: 9537222914 Enrollment ID: I20090112000227 |
| Provider Name | Jesus M Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063664647 PECOS PAC ID: 6800951773 Enrollment ID: I20090210000733 |
| Provider Name | Vicki R Frye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942271093 PECOS PAC ID: 9739220328 Enrollment ID: I20100105000057 |
| 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 | Jeffrey a Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508808577 PECOS PAC ID: 0840315891 Enrollment ID: I20100914000553 |
| Provider Name | Harrison G Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568413219 PECOS PAC ID: 6002008075 Enrollment ID: I20101008000391 |
| Provider Name | Stacy D Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205930864 PECOS PAC ID: 6103014865 Enrollment ID: I20101221001206 |
| Provider Name | Andrew Hunter Ford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164411963 PECOS PAC ID: 4981785540 Enrollment ID: I20110105000435 |
| Provider Name | David Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427368943 PECOS PAC ID: 1557540259 Enrollment ID: I20110127000341 |
| Provider Name | Charles Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346538295 PECOS PAC ID: 4183894827 Enrollment ID: I20110907000955 |
| 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 | Prashanth C Chandra Sekhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861612103 PECOS PAC ID: 2769516863 Enrollment ID: I20141121000200 |
| 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 | Kaitlin a Ball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467864710 PECOS PAC ID: 2466761887 Enrollment ID: I20151026000108 |
| Provider Name | Christina Richardson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568832509 PECOS PAC ID: 4688975949 Enrollment ID: I20151211000108 |
| Provider Name | Tiffany Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962867655 PECOS PAC ID: 0749586642 Enrollment ID: I20160302001421 |
| Provider Name | Jodi Watson Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124494513 PECOS PAC ID: 4981995172 Enrollment ID: I20160617001700 |
| Provider Name | Trevor Lee Alverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184179558 PECOS PAC ID: 9234426131 Enrollment ID: I20160920002948 |
| Provider Name | Kimberly D Spreckelmeyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851621270 PECOS PAC ID: 6507141249 Enrollment ID: I20170321001477 |
| Provider Name | Lee M Radford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588956106 PECOS PAC ID: 3274759972 Enrollment ID: I20170630000513 |
| Provider Name | Tabetha M Ewton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255852299 PECOS PAC ID: 9133494834 Enrollment ID: I20171005002517 |
| Provider Name | Chester Kessler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407910904 PECOS PAC ID: 0446516231 Enrollment ID: I20171110001681 |
| 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 | Jenifer Herra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568858819 PECOS PAC ID: 0042531303 Enrollment ID: I20180815004089 |
| Provider Name | Kreg G Jonson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720407182 PECOS PAC ID: 7719239862 Enrollment ID: I20181017003474 |
| Provider Name | Lana Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856480 PECOS PAC ID: 4688911910 Enrollment ID: I20190124002620 |
| Provider Name | Christina Marie Lassila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598225179 PECOS PAC ID: 0446593487 Enrollment ID: I20190515001694 |
| Provider Name | Maurice Aaron Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999021 PECOS PAC ID: 2961649728 Enrollment ID: I20200102000938 |
| Provider Name | Leslie T Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851918841 PECOS PAC ID: 2567881659 Enrollment ID: I20200923000186 |
| Provider Name | Courtney B Mcquistan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093320269 PECOS PAC ID: 4284053125 Enrollment ID: I20200928000489 |
| Provider Name | Diana Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548866866 PECOS PAC ID: 5193131910 Enrollment ID: I20210302003037 |
| Provider Name | Christine Mary Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111542 PECOS PAC ID: 4385049832 Enrollment ID: I20210820001364 |
| 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 | Baxter Jordon Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215518576 PECOS PAC ID: 0941608046 Enrollment ID: I20211004002111 |
| Provider Name | Rachel a Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235809021 PECOS PAC ID: 7719377514 Enrollment ID: I20211210000604 |
| Provider Name | Roger Cass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407845324 PECOS PAC ID: 5597789172 Enrollment ID: I20211215001199 |
| Provider Name | Brooke Booher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306462478 PECOS PAC ID: 6709279623 Enrollment ID: I20220216002316 |
| Provider Name | Keisha L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065730 PECOS PAC ID: 9234524281 Enrollment ID: I20220310000415 |
| Provider Name | Audrey Josey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336809987 PECOS PAC ID: 4183019672 Enrollment ID: I20220321000072 |
| 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 | Joseph R Pendley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902250137 PECOS PAC ID: 5890081178 Enrollment ID: I20221003001738 |
| Provider Name | Bassam Ibrahim Alzagatiti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831136738 PECOS PAC ID: 8729144902 Enrollment ID: I20230306001945 |
| Provider Name | Amith Reddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124409727 PECOS PAC ID: 9638471188 Enrollment ID: I20230822003095 |
| 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 | Brittany Diane Hagler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609446251 PECOS PAC ID: 2860835279 Enrollment ID: I20240213000537 |
| 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 | Cynthia Marie Work |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285407551 PECOS PAC ID: 0749725166 Enrollment ID: I20240710001965 |
| 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 | Joshua Burson Truesdell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255031357 PECOS PAC ID: 9830554005 Enrollment ID: I20250122002303 |
| Provider Name | Tharmathai Ramanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366730145 PECOS PAC ID: 1658513882 Enrollment ID: I20250123000007 |
| 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 |
| Provider Name | Ateet Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265767289 PECOS PAC ID: 0648584227 Enrollment ID: I20250708001971 |
| Provider Name | Evan Tayler Amonett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376292136 PECOS PAC ID: 2466951595 Enrollment ID: I20250815003739 |
| Provider Name | George Wennerberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659666717 PECOS PAC ID: 2567722804 Enrollment ID: I20250825001091 |
| Provider Name | Abby Halpern |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669930079 PECOS PAC ID: 9032600457 Enrollment ID: I20251113003101 |
| Provider Name | Rebecca Kapolka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619387776 PECOS PAC ID: 9739304767 Enrollment ID: I20251208000745 |
| Provider Name | Barbara Joslow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982669503 PECOS PAC ID: 3678762515 Enrollment ID: I20251218003725 |
| Provider Name | Stefani Stokes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457211195 PECOS PAC ID: 5991272536 Enrollment ID: I20260430003053 |
| Provider Name | Kezley Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003784018 PECOS PAC ID: 5698243509 Enrollment ID: I20260508003038 |
Community Dpc 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 |
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 Physical Therapy 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: Not Enrolled in Medicare Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 |