| Bradley Urgent Care | |
|
4021 Keith St Nw Cleveland TN 37312-4341 | |
| (423) 476-2464 | |
| (423) 476-1008 |
| Full Name | Bradley Urgent Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4021 Keith St Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Mahmood A Siddiqui (PRESIDENT) |
| Authorized Official Contact | 4234969214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Urgent Care 4021 Keith St Nw Cleveland TN 37312-4341 Ph: (423) 476-2464 | Bradley Urgent Care 4021 Keith St Nw Cleveland TN 37312-4341 Ph: (423) 476-2464 |
| NPI Number | 1316124852 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 1951485150 |
|---|---|
| Medicare Enrollment ID | O20080227000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316124852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahmood A Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568439453 PECOS PAC ID: 0749293298 Enrollment ID: I20070417000665 |
| Provider Name | Stacie M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164518502 PECOS PAC ID: 4880694389 Enrollment ID: I20130409000161 |
| Provider Name | Anna Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144662834 PECOS PAC ID: 3870720014 Enrollment ID: I20131216000844 |
| Provider Name | Katelyn Diana Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346734720 PECOS PAC ID: 0648528000 Enrollment ID: I20180801004028 |
| Provider Name | Lisa Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518420256 PECOS PAC ID: 1557694700 Enrollment ID: I20190604000594 |
| Provider Name | Jennifer Dawn Mchenry Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437561750 PECOS PAC ID: 0547512279 Enrollment ID: I20190720000044 |
| Provider Name | Jennifer Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942770078 PECOS PAC ID: 7719213396 Enrollment ID: I20190722000439 |
| Provider Name | Sabra L Condra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316506967 PECOS PAC ID: 0244566347 Enrollment ID: I20190726002789 |
| Provider Name | Karen L Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720661549 PECOS PAC ID: 5799187829 Enrollment ID: I20210713001092 |
| Provider Name | Donald A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174195390 PECOS PAC ID: 1254729494 Enrollment ID: I20211021000370 |
| Provider Name | David J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194590810 PECOS PAC ID: 8022453992 Enrollment ID: I20240301000372 |
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: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 | |
Skyridge Clinical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Crossing, Ste 200, Cleveland, TN 37312 Phone: 423-479-4165 | |
Cleveland Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-338-8995 Fax: 423-614-5270 |