Active NPI
Brady Wilson Berglin, M.S., R.D., L.D.
- Registered Dietitian
- Fairhope, AL
National Provider Identifier
1689820458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 570
- Practice address
- 16454 County Road 3
Fairhope, AL 36532-5506 - Phone
- (251) 751-7773
- Fax
- (251) 928-1986
- NPI assigned
- Aug 13, 2008
- Last updated
- Aug 13, 2008
- 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 | 570 | AL | Primary |
Addresses
Primary practice location
16454 County Road 3
Fairhope, AL 36532-5506
Mailing address
16454 County Road 3
Fairhope, AL 36532-5506
Phone (251) 751-7773
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1689820458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16454 COUNTY ROAD 3",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365325506",
"telephone_number": "251-751-7773",
"fax_number": "251-928-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16454 COUNTY ROAD 3",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365325506",
"telephone_number": "251-751-7773",
"fax_number": "251-928-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGLIN",
"first_name": "BRADY",
"middle_name": "WILSON",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Andrew B Belcher, RN
- Candace Andrews Bell, AU.D., CCC-A
- Maria Elizabeth Beltran, MD
- Benchmark Physical Therapy of Alabama, LLC
- Jonathan Taylor Bergeron, MD
- Amy E. Beshel, PT
- Mary Austin Billups, RN
- William C Bingham, MD
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care EASTERN SHORE)
- Bio-Medical Applications of Alabama, Inc. (FMC Home Therapy Services of Baldwin County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.