Provider Demographics
NPI:1609040880
Name:WILLIAMS, BRADLEY VERNE (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:VERNE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:VANDERBILT STUDENT HEALTH SERVICE
Mailing Address - Street 2:VU STATION 17, ZERFOSS BUILDING
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8710
Mailing Address - Country:US
Mailing Address - Phone:615-343-0282
Mailing Address - Fax:615-343-0047
Practice Address - Street 1:VANDERBILT STUDENT HEALTH SERVICE
Practice Address - Street 2:VU STATION 17, ZERFOSS BUILDING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8710
Practice Address - Country:US
Practice Address - Phone:615-343-0282
Practice Address - Fax:615-343-0047
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN136252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry