Provider Demographics
NPI:1386630911
Name:ADKINS, WILLIAM BRADFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRADFORD
Last Name:ADKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 COATSLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3948
Mailing Address - Country:US
Mailing Address - Phone:731-422-4642
Mailing Address - Fax:731-422-2277
Practice Address - Street 1:244 COATSLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3948
Practice Address - Country:US
Practice Address - Phone:731-422-4642
Practice Address - Fax:731-422-2277
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27037207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5138134OtherAETNA
TN6286683OtherCIGNA
TN3073881OtherBCBS
TN3802984Medicaid
TN1131914Other1ST HEALTH
TN5138134OtherAETNA
TN3802982Medicare PIN