BRADLEY EDWARD GATLIN – Family Nurse Practitioner, NPI 1225757008

BRADLEY EDWARD GATLIN is a healthcare provider. based in Dyersburg, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 32295 (TN). The NPI Number for BRADLEY EDWARD GATLIN is 1225757008

Main info

Male
Sole Proprietor
4 Years Of Experience
Name
BRADLEY EDWARD GATLIN
NPI
1225757008
Phone
(731) 325-5678
Address
2550 Parr Ave
Enumeration Date
24 August 2022
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7313255678
Graduation Year
2022 (4 years ago)
PAC ID
8527444579
Group Practice PAC ID
8820349202
Professional Enrollment ID
I20220929000554
Address ID
TN380242033DY2550XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for BRADLEY EDWARD GATLIN

  • 2550 Parr Ave

    Dyersburg, TN 380242033

    Phone: (731) 325-5678

    Type: Location

  • 4552 BIFFLE RD

    NEWBERN, TN 380595218

    Phone: (731) 694-0341

    Type: Mailing

  • 2550 PARR AVE

    DYERSBURG, TN 380242033

    Phone: (731) 325-5678

    Type: Location

  • 5060 BIFFLE RD

    NEWBERN, TN 380595213

    Phone: (731) 694-0341

    Fax: (731) 334-5418

    Type: Mailing

  • 2095 SAINT JOHN AVE

    DYERSBURG, TN 380242209

    Phone: (731) 334-5353

    Fax: (731) 334-5418

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Novo Nordisk Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220929000554INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg37684$0
J0696Injection, ceftriaxone sodium, per 250 mg37279$0
96372Injection of drug or substance under skin or into muscle252121$0
99213Established patient office or other outpatient visit, 20-29 minutes202155$0
87804Detection test by immunoassay with direct visual observation for influenza virus11046$0
View full utilization report →

Insurance plans in this area (ZIP 38024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820349202View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerAR
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does BRADLEY EDWARD GATLIN have a public NPI I can cite?
Public records show BRADLEY EDWARD GATLIN under NPI 1225757008.
Does the public listing show BRADLEY EDWARD GATLIN as active?
BRADLEY EDWARD GATLIN's NPI record reflects an active status in NPPES.
What services align with BRADLEY EDWARD GATLIN's listing?
BRADLEY EDWARD GATLIN's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BRADLEY EDWARD GATLIN in Dyersburg, Tennessee?
For routing, start with Dyersburg, Tennessee for BRADLEY EDWARD GATLIN, then verify phone and hours locally.
Can I export BRADLEY EDWARD GATLIN's record?
You can download the official NPPES record; we summarize key fields for readability.

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