NPI 1689820458 · live from the CMS NPI Registry
Brady Wilson Berglin, M.S., R.D., L.D.
Dietitian, Registered in Fairhope, AL. National Provider Identifier 1689820458, active.
NPI record
| NPI | 1689820458 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 16454 County Road 3, Fairhope, AL 36532 |
| Practice phone | 251-751-7773 |
| Enumerated | August 13, 2008 |
| Last updated | August 13, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 570 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.