NPI 1770058968 · live from the CMS NPI Registry
Julia Randolph Berger
Dietitian, Registered in Birmingham, AL. National Provider Identifier 1770058968, active.
NPI record
| NPI | 1770058968 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211 |
| Practice phone | 205-783-8600 |
| Mailing address | 405 Belcher St, Centreville, AL 35042 |
| Enumerated | October 4, 2018 |
| Last updated | October 4, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1108247 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.