NPI 1255836730 · live from the CMS NPI Registry
Jimmie Bottcher, RDN
Dietitian, Registered in Mountain Brk, AL. National Provider Identifier 1255836730, active.
NPI record
| NPI | 1255836730 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4008 Rock Creek Way, Mountain Brk, AL 35223 |
| Practice phone | 205-910-9366 |
| Enumerated | March 27, 2018 |
| Last updated | March 27, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1182 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.