Heather Brunk, RD
Individual provider Active NPI Registered Dietitian · Bridgewater, VA
NPI 1003672775 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1003672775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86040354 (VA)
- Practice address
- 37 Centerville Rd
Bridgewater, VA 22812-2700 - Phone
- (540) 241-5920
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86040354 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Room at the Table Nutrition Services LLC | Dietitian, Registered | Current |
Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86040354 | VA | Yes |
Addresses
Primary practice location
37 Centerville Rd
Bridgewater, VA 22812-2700
Mailing address
37 Centerville Rd
Bridgewater, VA 22812-2700
Phone (540) 241-5920
Other providers in Bridgewater, VA
- Bridgewater Counseling Services, PC
- Bridgewater Healthcare Pharmacy
- Bridgewater Home, Inc.
- Daniel Ryan Brown
- Paul Russell Brown II
- Samuel Buscher
- Aiden R Camara
- Sydni Carey
- Stephanie Lynn Carroll
- Janine Ceasar
All providers in Bridgewater, VA · Registered Dietitian in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.