Brad Beatty
Individual provider Active NPI Registered Dietitian · Hollidaysburg, PA
NPI 1225686017 · NPPES record last updated Aug 27, 2019
Key facts
- NPI
- 1225686017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN006844 (PA)
- Practice address
- 106 Tina Dr
Hollidaysburg, PA 16648-9701 - Phone
- (814) 505-7076
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006844 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.C. Beatty Nutrition Consulting LLC | Dietitian, Registered | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006844 | PA | Yes |
Addresses
Primary practice location
106 Tina Dr
Hollidaysburg, PA 16648-9701
Mailing address
106 Tina Dr
Hollidaysburg, PA 16648-9701
Phone (814) 505-7076
Other providers in Hollidaysburg, PA
- Mark Christian Barnes
- Noelle Barnes
- Patrick C Barnes
- Brittanie Renee Barr
- Jeffrey Lynn Bayliff
- Kimberly Ann Bennett
- Ashley Suzanne Benton
- Gretchen Bettwy
- Blair County Plastic Surgery Inc.
- Blair Foot and Ankle LLC
All providers in Hollidaysburg, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.