BRADFORD LYLE MITCHELL (NPI# 1447542881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447542881 |
| Entity Type | Individual |
| Full Name | BRADFORD LYLE MITCHELL |
| Credential | MD |
| Practice Address |
2415 Mccallie Avenue Chattanooga TN 37404 |
| Mailing Address |
2415 Mccallie Ave Chattanooga TN 37404-3322 |
| Practice Telephone | 4236242696 |
| Practice Fax Number | 4236972055 |
| Mailing Telephone | 4236242696 |
| Mailing Fax Number | 4236972055 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
52304 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679667091 | Bradford Kent Mitchell | Surgery | 4660 S. Hagadorn Road, Suite 600, East Lansing, MI 48823 | 2006-10-02 |
| 1154840783 | Bradford Mitchell | Counselor | 6330 Thornton Ave, Newark, CA 94560 | 2017-09-14 |
| 1285810515 | Bradford Charles Mitchell | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2008-01-16 |
| Street Address |
2415 MCCALLIE AVENUE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720252109 | Benjamin Steven Miller | Orthopaedic Surgery | 2415 Mccallie Avenue, Chattanooga, TN 37404-3322 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
| 1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
| 1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
| 1982690038 | Sports Care of Chattanooga Pllc | Family Medicine | 501 Houston St, Chattanooga, TN 37403-3409 | 2005-09-23 |
| 1376910653 | University of Tennessee | Family Medicine | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2015-08-21 |
| 1194090647 | Chattanooga Hamilton County Hospital Authority | Family Medicine | 1100 E 3rd St, Suite 102, Chattanooga, TN 37403-2241 | 2012-03-16 |
| 1780992214 | Chattanooga Hamilton County Hospital Authority | Family Medicine | 1200 Pineville Rd, Chattanooga, TN 37405-2645 | 2010-09-17 |
| 1023141025 | Glenn A. Beasley | Family Medicine | 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 | 2007-03-13 |
| 1750480174 | Jason Andrew Robertson | Family Medicine | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
| 1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
| 1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
| 1841485018 | Crystal Shanelle Dyer | Family Medicine | 850 W Main St Ste 2, Rogersville, TN 37857-3663 | 2007-09-11 |
| 1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
| 1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
| 1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
| 1568905248 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 107 Glidepath Way, Lebanon, TN 37090-4133 | 2016-11-29 |
| 1720466741 | David Wallace Neblett | Family Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-9760 | 2015-05-11 |
| 1700274487 | Plateau Medical Specialist Pllc | Family Medicine | 57 W Adams St, Crossville, TN 38555-4836 | 2015-01-02 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.