Active NPI
Rebecca P Bradley, RD
- Registered Dietitian
- Burlington, MA
National Provider Identifier
1497925606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1483
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0001 - Phone
- (781) 744-2469
- Fax
- (781) 744-2581
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 1483 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0001
Mailing address
1 Pavins PL
Bluffton, SC 29910-4644
Phone (207) 475-5578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1497925606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PAVINS PL",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104644",
"telephone_number": "207-475-5578",
"fax_number": "781-744-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-2469",
"fax_number": "781-744-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "REBECCA",
"middle_name": "P",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.