Active NPI
Brian William McCrery, R.D.
- Registered Dietitian
- Murfreesboro, TN
National Provider Identifier
1184908725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN2398
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LDN2398 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherry Hall, Inc. | Dietitian, Registered | Current | 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.