Sophia E. Burge, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3376 Issued in AL

Practice address

2208 University Blvd Ste 102
Birmingham, AL 35233-2313

Phone

(205) 259-6710

Fax

(205) 490-8659

NPI assigned

Jan 9, 2017

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sophie Dolan Nutrition, LLC

  • Registered Dietitian
  • Birmingham, AL
  • NPI 1336866532
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1053857540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 UNIVERSITY BLVD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332313",
            "telephone_number": "205-259-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 UNIVERSITY BLVD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332313",
            "telephone_number": "205-259-6710",
            "fax_number": "205-490-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "SOPHIA",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Stafford Burgan, M.D.
• Ian Ladd Burge, NURSE PRACTITIONER
• Kaitlin Gail Burge
• Mark Harold Burge, PH.D.
• Sonthe Bokas Burge, MS RD LD
• Stephen K Burge, MD
• Eva Burgess, M.D.
• Kathryn Simpson Burgess, FNP
• Lauren Nanaline Burgess
• Malea T Burgess, CRNP

• Registered Dietitian in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.