NPI 1295686103 · live from the CMS NPI Registry
Bailey Brockelbank, MS, RDN, LD
Dietitian, Registered in Anderson, SC. National Provider Identifier 1295686103, active.
NPI record
| NPI | 1295686103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 201 John Rutledge St, Anderson, SC 29621 |
| Practice phone | 864-245-8918 |
| Mailing address | 3724 Jefferson St Ste 104, Austin, TX 78731 |
| Enumerated | February 5, 2026 |
| Last updated | February 5, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.