Brandi Elizabeth Bonin, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84230 Issued in TX

Practice address

1217 Avenue M Ste 113
Huntsville, TX 77340

Phone

(936) 337-2981

Fax

(936) 755-5115

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Basic Balance Nutrition, Inc.Group PAC ID 3678838513, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Basic Balance Nutrition, Inc.

  • Registered Dietitian
  • Huntsville, TX
  • NPI 1629582796
  Medicare reassignment Care Compare group Authorized official
• Dietitian Direct Inc

  • Registered Dietitian
  • South Plainfield, NJ
  • NPI 1760654180

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1285146282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 AVENUE M STE 113",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404650",
            "telephone_number": "936-337-2981",
            "fax_number": "936-755-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 AVENUE M STE 113",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "77340",
            "telephone_number": "936-337-2981",
            "fax_number": "936-755-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 Briarcrest Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022777",
            "country_code": "US",
            "telephone_number": "936-337-2981",
            "fax_number": "936-755-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONIN",
        "first_name": "BRANDI",
        "middle_name": "ELIZABETH",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.