JOEL F. BRADLEY MD – NPI #1073594321
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JOEL BRADLEY is a physician located in CLARKSVILLE, TN. NPPES has assigned the NPI number 1073594321 to JOEL BRADLEY on November 11, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOEL BRADLEY below.

NPI Profile for
JOEL F. BRADLEY

NPI Number
1073594321
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOEL F. BRADLEY
Credentials
MD
Primary location
2199 MEMORIAL DR
CLARKSVILLE, TN 37043-4447
Phone: (931) 245-8400 Fax: (931) 245-8465
Mailing address
PO BOX 3799
CLARKSVILLE, TN 37043-3799
Phone: (931) 245-7094 Fax: (931) 245-7069
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOEL BRADLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3008519
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TN 15436

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.