Individual provider Active NPI

Suzanne Brodney, PHD, RDN

  • Registered Dietitian
  • Brighton, MA
National Provider Identifier
1295888519
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1660 Soldiers Field Rd #1167
Suite 7
Brighton, MA 02135-1108
Phone
(617) 763-6331
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1660 Soldiers Field Rd #1167
Suite 7
Brighton, MA 02135-1108

Mailing address

1660 Soldiers Field Rd #1167
Suite 7
Brighton, MA 02135-1111
Phone (617) 763-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000206 MA Practitioner - Registered Dietitian Or Nutrition Professional 4385157031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Nutrition, LLC Dietitian, Registered CurrentSince Apr 19, 2025 Accepting new patients

Locations

1660 Soldiers Field Rd
#1167
Brighton, MA 02135
Phone (617) 763-6331

1660 Soldiers Field Rd
Ste 7
Brighton, MA 02135
Phone (617) 763-6331

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1295888519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SOLDIERS FIELD RD #1167",
            "address_2": "SUITE 7",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351111",
            "telephone_number": "617-763-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SOLDIERS FIELD RD #1167",
            "address_2": "SUITE 7",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351108",
            "telephone_number": "617-763-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNEY",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PHD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.