NPI 1952172397 · live from the CMS NPI Registry
Brenda M Brasfield-Johnson, RD
Dietitian, Registered, Nutrition, Renal in Moundville, AL. National Provider Identifier 1952172397, active.
NPI record
| NPI | 1952172397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Renal 133VN1005X |
| Practice location | 12699 Grove Cir, Moundville, AL 35474 |
| Practice phone | 229-938-2815 |
| Mailing address | 243 Fairway Cir, Americus, GA 31709 |
| Enumerated | January 15, 2024 |
| Last updated | January 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 5348 (AL) |
| Dietitian, Registered, Nutrition, Renal primary | 133VN1005X | LD003919 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.