NPI 1093285850 · live from the CMS NPI Registry
Brandon James Borom, RDN LMT MBW BSN
Nutritionist in Sparks, NV. National Provider Identifier 1093285850, active.
NPI record
| NPI | 1093285850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nutritionist 133N00000X |
| Practice location | 885 Sparks Blvd Ste 300, Sparks, NV 89434 |
| Practice phone | 775-527-7950 |
| Enumerated | December 4, 2018 |
| Last updated | February 11, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | 86177356 (NV) |
| Mechanotherapist | 172M00000X | NVMT.6268 (NV) |
| Reflexologist | 173C00000X | NVMT.6268 (NV) |
| Massage Therapist | 225700000X | NVMT.6268 (NV) |
| Kinesiotherapist | 226300000X | NVMT.6268 (NV) |
| Nutritionist primary | 133N00000X | — (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.