Organization
BRADLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI BIVENS (CODING SUPERVISOR)
(423) 339-2330
Entity
Organization
Contact information
Practice address
2825 WESTSIDE DR NW, STE C, CLEVELAND, TN 37312-3505
(423) 614-3733
(423) 614-3738
Mailing address
2825 WESTSIDE DR NW, STE C, CLEVELAND, TN 37312-3505
(423) 614-3733
(423) 614-3738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21336
TN
Other
Enumeration date
10/05/2006
Last updated
07/10/2015
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