Sabrina Bragg, RD, LD

Individual provider Active NPI Registered Dietitian · Anniston, AL

NPI 1255359352 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1255359352
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1510 (AL)
Practice address
1400 Commerce Blvd
Anniston, AL 36207-9451
Phone
(256) 831-3058
Fax
(256) 835-8681
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1510ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Nutrtion Associates Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1510 AL Yes

Addresses

Primary practice location

1400 Commerce Blvd
Anniston, AL 36207-9451

Mailing address

130 Anna Ridge Dr
Heflin, AL 36264-1601
Phone (256) 831-3058

Other identifiers

IdentifierTypeStateIssuer
09454OtherALBCBS UPIN#

Other providers in Anniston, AL

All providers in Anniston, AL · Registered Dietitian in Alabama

Sources for this page

Verify at the official NPI Registry.