MEDICARE: BRADLEYS HOME HEALTH CARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1578509998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADLEYS HOME HEALTH CARE CENTER INC

Provider Business Mailing Address
First Line	:	5208 CHARLOTTE AVENUE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209
Country	:	US
Telephone Number	:	615-383-9516
Fax Number	:	615-269-8932

Provider Business Practice Location Address
First Line	:	5206 CHARLOTTE PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-3321
Country	:	US
Telephone Number	:	615-383-9516
Fax Number	:	615-269-8932

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHILLIP WILSON BRADLEY
Credential	:
Telephone Number	:	615-383-2741

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/29/2023

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