Active NPI
Brandon Michael Sorensen, DCN
- Registered Dietitian
- Wheaton, IL
National Provider Identifier
1679464663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.011254
- Practice address
- 1675 Valley Forge CT Apt a
Wheaton, IL 60189-8267 - Phone
- (630) 247-3328
- NPI assigned
- Jul 9, 2025
- Sex
- Male
- 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 | 164.011254 | IL | Primary |
Addresses
Primary practice location
1675 Valley Forge CT Apt a
Wheaton, IL 60189-8267
Mailing address
1675 Valley Forge CT Apt a
Wheaton, IL 60189-8267
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 |
|---|---|---|---|
| 164.011254 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of New Jersey, P.C. | Single Specialty | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
Single Specialty
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- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1679464663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 VALLEY FORGE CT APT A",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 VALLEY FORGE CT APT A",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898267",
"telephone_number": "630-247-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DCN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.011254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.