Scott William Brown, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2019044162 Issued in MO

Practice address

109 N Blue Jay Dr # 1384
Liberty, MO 64068-1906

Phone

(816) 792-3210

NPI assigned

Nov 21, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1144866401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N BLUE JAY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681906",
            "telephone_number": "816-792-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BLUE JAY DR # 1384",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681906",
            "telephone_number": "816-792-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019044162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joachim R Brill, M.D.
• Lauren Broden, RPH
• Jessirae Broussard, AA
• McKenzie Kay Brown
• Paula M Brown, DNP, APRN-BC
• Jerad Bruggeman, ATC
• Deborah Bryant
• Jack Buchan
• Buckley Chiropractic, P.C.
• Eric J Buckley, D.C.

• Registered Dietitian in Liberty, MO
• Providers in Liberty, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.