Brandon James Borom, RDN LMT MBW BSN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

885 Sparks Blvd Ste 300
Sparks, NV 89434-7933

Phone

(775) 527-7950

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1093285850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 SPARKS BLVD STE 300",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347933",
            "telephone_number": "775-527-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SPARKS BLVD STE 300",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347933",
            "telephone_number": "775-527-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROM",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "RDN LMT MBW BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NV",
            "license": "86177356",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NV",
            "license": "NVMT.6268",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NV",
            "license": "NVMT.6268",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.6268",
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "NV",
            "license": "NVMT.6268",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Kay Bonaldi
• Brett Bonetti
• Leslie Marilyn Bonilla, LSW
• Cynthia Rene' Bonini
• Jennifer A C Bonow, PHD, BCBA-D, LBA
• Rachel Elaine Bos
• Krista Bosch
• Terri Bostick, RPH
• Bylly Jeann Botanny, DNP, AGPCNP-C,RN
• Laurie Leigh Bourdeaux, APRN

• Nutritionist in Sparks, NV
• Providers in Sparks, NV by specialty
• Nutritionist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.