Bruna Barros Popp, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD2063 Issued in OK

Practice address

2020 E 135TH St S
Bixby, OK 74008-1030

Phone

(954) 495-0615

NPI assigned

Apr 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1720720824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 135TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740081030",
            "telephone_number": "954-495-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 135TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740081030",
            "telephone_number": "954-495-0615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361992",
            "country_code": "US",
            "telephone_number": "918-494-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPP",
        "first_name": "BRUNA",
        "middle_name": "BARROS",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Perry, LPC
• Tanya Loree Petree, COTA/L
• Deborah Ann Pettit, PMHNP
• Willis Franklin Phelps, M.D.
• Glenna G Pierce-Thorstenberg, LCSW
• Elijah O Powis, DPT
• Premier Pediatric and Adolescent Care of Bixby
• Sean Michael Price, PHARM.D
• Prophylaxis Healthcare LLC
• Prophylaxis Healthcare LLC

• Registered Dietitian in Bixby, OK
• Providers in Bixby, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.