What is Bradley Provence's NPI number?

Bradley Provence's National Provider Identifier (NPI) is 1225442155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bradley Provence's specialty?

Bradley Provence is listed in the NPPES registry with a primary specialty of Nutrition Support Pharmacist (Pharmacy Service Providers).

Where is Bradley Provence located?

Bradley Provence's practice location on file with NPPES is 7899 C St, Millington, TN 38053-2137.

What is Bradley Provence's phone number?

The practice phone number listed in the NPPES registry for Bradley Provence is (901) 872-2214.

Is Bradley Provence's NPI active?

Yes — Bradley Provence's NPI (1225442155) is active in the NPPES registry as of the last update on 2014-06-18.

IndividualActive

Bradley Provence

NPI 1225442155 · Nutrition Support Pharmacist · Millington, TN

Bradley Provence is a Nutrition Support Pharmacist provider in Millington, TN (NPI 1225442155).

Provider details

NPI number: 1225442155
Entity type: Individual
Primary specialty: Nutrition Support PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 7696 (TN)

Specialties & taxonomies

Nutrition Support PharmacistPrimary1835N1003XLicense 7696 (TN)
Pharmacy Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

7899 C St

Millington, TN 38053-2137

Phone: (901) 872-2214

Street-level locationGet directions

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Mailing address