NPI 1053857540 · live from the CMS NPI Registry
Sophia E. Burge, MS, RD, LDN
Dietitian, Registered in Birmingham, AL. National Provider Identifier 1053857540, active.
NPI record
| NPI | 1053857540 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2208 University Blvd Ste 102, Birmingham, AL 35233 |
| Practice phone | 205-259-6710 |
| Enumerated | January 9, 2017 |
| Last updated | July 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3376 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.