Mary Clifford Brewer, RDN, RN, MSN, MBA

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

805919

Practice address

6451 Cotton Hill Rd
Roanoke, VA 24018-6911

Phone

(540) 521-2845

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1356831234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 COTTON HILL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186911",
            "telephone_number": "540-521-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 COTTON HILL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186911",
            "telephone_number": "540-521-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MARY",
        "middle_name": "CLIFFORD",
        "credential": "RDN, RN, MSN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001207565",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "805919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Jean Brenton
• James N. Brenton, M.D.
• Brett Rhodes DDS PC
• Cooper Aleksander Brett, DO, MS
• Helen Brewbaker, NP
• Grace Rakauskas Brian, CD(DONA)
• Keegan Brian
• Christian Andrew Brickner, P.T., D.P.T.
• Geneva Bridge, LPC
• Bridges of Virginia, LLC.

• Registered Dietitian in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.