MEDICARE: BRADLEY S PARROTT COF

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1639346562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY S PARROTT COF

Provider Business Mailing Address
First Line	:	122 SKYVIEW DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-4106
Country	:	US
Telephone Number	:	615-268-6783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1823 CHARLOTTE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2104
Country	:	US
Telephone Number	:	615-340-0068
Fax Number	:	615-340-0028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	07/05/2013

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Directions to “ BRADLEY S PARROTT COF” Practice Location

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