Active NPI
Elizabeth Bronk, RD CD
- Registered Dietitian
- Eau Claire, WI
National Provider Identifier
1184348310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5026
- Practice address
- 733 W Clairemont Ave
Eau Claire, WI 54701-6101 - Phone
- (507) 273-7538
- NPI assigned
- Sep 30, 2022
- 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 | 5026 | WI | Primary |
Addresses
Primary practice location
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1184348310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016101",
"telephone_number": "507-273-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONK",
"first_name": "ELIZABETH",
"credential": "RD CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "5026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.