Individual provider Active NPI

Garren Mark Brannon, RDN, LDN

  • Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1013994433
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002841 Issued in NC
Practice address
2899 Navajo Ave
Every Bite Counts/Make Every Bite Count
Winston Salem, NC 27103-5437
Phone
(336) 414-5686
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002841 NC Primary

Addresses

Primary practice location

2899 Navajo Ave
Every Bite Counts/Make Every Bite Count
Winston Salem, NC 27103-5437

Mailing address

2899 Navajo Ave
Winston-Salem, NC 27103-5437
Phone (336) 414-5686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L002841NCMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1013994433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 NAVAJO AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035437",
            "telephone_number": "336-414-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 NAVAJO AVE",
            "address_2": "EVERY BITE COUNTS/MAKE EVERY BITE COUNT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035437",
            "telephone_number": "336-414-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "GARREN",
        "middle_name": "MARK",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.