Provider Demographics
NPI:1457306144
Name:BRADBURY, NANCY Z (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:Z
Last Name:BRADBURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:ZAMZAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1531 HUNT CLUB BLVD
Mailing Address - Street 2:100
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6095
Mailing Address - Country:US
Mailing Address - Phone:615-230-1600
Mailing Address - Fax:615-230-1630
Practice Address - Street 1:1531 HUNT CLUB BLVD
Practice Address - Street 2:100
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6095
Practice Address - Country:US
Practice Address - Phone:615-230-1600
Practice Address - Fax:615-230-1630
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41372207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology