Active NPI
Bradley Carl Lang, LDN
- Registered Dietitian
- Chapel Hill, NC
National Provider Identifier
1669840344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004570N
- Practice address
- 101 Manning Dr
Children'S Hospital
Chapel Hill, NC 27514-4220 - Phone
- (984) 974-7908
- Fax
- (984) 974-3217
- NPI assigned
- Sep 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004570N | NC | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | L004570 | NC |
Addresses
Primary practice location
101 Manning Dr
Children'S Hospital
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Dr
Children'S Hospital
Chapel Hill, NC 27514-4220
Phone (984) 974-7908
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004570N | NC | MD | Registered Dietitian |
| L004570 | NC | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1669840344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"address_2": "CHILDREN'S HOSPITAL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-7908",
"fax_number": "984-974-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"address_2": "CHILDREN'S HOSPITAL",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-7908",
"fax_number": "984-974-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "BRADLEY",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004570N",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NC",
"license": "L004570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.