BRG Dietetics & Nutrition, P.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000251 Issued in NY

Legal business name

BRG DIETETICS & NUTRITION, P.C.

Practice address

383 Plymouth St
West Hempstead, NY 11552-2450

Phone

(516) 486-4569

Fax

(516) 486-1792

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Renee Giller, MS, RD, CDN, CDENPI 1194941591

Title

President Registered Dietitian

Phone

(516) 486-4569

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Renee Giller, MS, RD, CDN, CDE

  • Registered Dietitian
  • West Hempstead, NY
  • NPI 1194941591

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053486407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 PLYMOUTH ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522450",
            "telephone_number": "516-486-4569",
            "fax_number": "516-486-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 PLYMOUTH ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522450",
            "telephone_number": "516-486-4569",
            "fax_number": "516-486-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRG DIETETICS & NUTRITION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "516-486-4569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, CDN, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1141750",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "205253P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLANS",
            "identifier": "2142444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "8000066",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P797526",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "8461009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augustas Angelo Boulukos, MD
• Elise Brafman
• Sharon Braver
• Beth Brennan, PHARM D
• Elizabeth Joy Brett, MS OTR/L
• Bright Hope NP in Psychiatry PC
• Monica Rae Brooks, PT
• Wendy Felicia Brown Smalls, SOCIAL WORKER
• Aaron Samuel Brown, PTA
• Michael S Brown, M.S.,P.T.

• Registered Dietitian in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.