| Doctor Name: | JOHN PAUL BRADLEY |
| NPI Number: | 1144595257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 172136 |
| Business Practice Address: | 1500 W Poplar Ave Collierville, TN - 380170601 |
| Business Phone Number: | 9018619105 |
| Business Fax Number: | |
| Mailing Address: | 1078 Breezy Valley Dr, CORDOVA |
| State: | TN |
| Postal Code: | 380186640 |
| Phone Number: | 9012381789 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2012 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 172136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |