What is Bradley Willis's NPI number?

Bradley Willis's National Provider Identifier (NPI) is 1558893412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bradley Willis's specialty?

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

Where is Bradley Willis located?

Bradley Willis's practice location on file with NPPES is 130 W Ravine Rd, Kingsport, TN 37660-3837.

What is Bradley Willis's phone number?

The practice phone number listed in the NPPES registry for Bradley Willis is (423) 224-4000.

Is Bradley Willis's NPI active?

Yes — Bradley Willis's NPI (1558893412) is active in the NPPES registry as of the last update on 2017-03-30.

IndividualActive

Bradley Willis

NPI 1558893412 · Pharmacist · Kingsport, TN

Bradley Willis is a Pharmacist provider in Kingsport, TN (NPI 1558893412).

Provider details

NPI number: 1558893412
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 40632 (TN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 40632 (TN)
Pharmacy Service Providers

Profile Score

Established profile(70/100 index)

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

Registry tenure38% of score
9 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

130 W Ravine Rd

Kingsport, TN 37660-3837

Phone: (423) 224-4000

Street-level locationGet directions

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Mailing address