Active NPI
Brittany Roley
- Registered Dietitian
- Edina, MN
National Provider Identifier
1043052244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3250 W 66TH St
Edina, MN 55435-2522 - Phone
- (651) 447-6737
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3250 W 66TH St
Edina, MN 55435-2522
Mailing address
349 Johnston Dr
Pineville, NC 28134-9601
Other practice location 1
609 E Main St
Purcellville, VA 20132-4500
Phone (651) 447-6737
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Management LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
609 E Main St
Purcellville, VA 20132
Phone (540) 338-4195
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1043052244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 JOHNSTON DR",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281349601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W 66TH ST",
"city": "EDINA",
"state": "MN",
"postal_code": "554352522",
"telephone_number": "651-447-6737"
}
],
"practiceLocations": [
{
"address_1": "609 E Main St",
"address_purpose": "LOCATION",
"city": "Purcellville",
"state": "VA",
"postal_code": "201324500",
"country_code": "US",
"telephone_number": "651-447-6737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLEY",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.