Active NPI
Suzanne Brodney, PHD, RDN
- Registered Dietitian
- Brighton, MA
National Provider Identifier
1295888519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shared Nutrition, LLC | Dietitian, Registered | Current | 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.