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Contact Information

BRADLAKE MEDICAL CENTER, INC
500 MAPLELEAF DRIVE
SUITE 200
NASHVILLE, TN37210
 Phone: 615-232-7162
 Fax: 615-232-7308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for BRADLAKE MEDICAL CENTER INC · (Female)

NPI Number 1336407147
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2012
Last updated 03/27/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MD0000014656
  • TN Medicaid 1528386
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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