Individual provider Active NPI

Brian William McCrery, R.D.

  • Registered Dietitian
  • Murfreesboro, TN
National Provider Identifier
1184908725
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN2398 Issued in TN
Practice address
810 NW Broad St
Suite 234
Murfreesboro, TN 37129-2776
Phone
(615) 217-9473
Fax
(615) 217-0660
NPI assigned
Sep 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X LDN2398 TN
Registered Dietitian 133V00000X LDN2398 TN Primary

Addresses

Primary practice location

810 NW Broad St
Suite 234
Murfreesboro, TN 37129-2776

Mailing address

810 NW Broad St
Suite 234
Murfreesboro, TN 37129-2776
Phone (615) 217-9473

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

State licenses

LicenseStateTypeSpecialty
LDN2398TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Hall, Inc. Dietitian, Registered CurrentSince Jul 17, 2012 Accepting new patients

Locations

810 NW Broad St
Ste 234
Murfreesboro, TN 37129
Phone (615) 217-9473

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1184908725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NW BROAD ST",
            "address_2": "SUITE 234",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292776",
            "telephone_number": "615-217-9473",
            "fax_number": "615-217-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NW BROAD ST",
            "address_2": "SUITE 234",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292776",
            "telephone_number": "615-217-9473",
            "fax_number": "615-217-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRERY",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "LDN2398",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.