Julia Randolph Berger
Individual provider Active NPI Registered Dietitian · Birmingham, AL
NPI 1770058968 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1770058968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1108247
- Practice address
- 1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948 - Phone
- (205) 783-8600
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2714 | AL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1108247 | Yes |
Addresses
Primary practice location
1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Mailing address
405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992
Other practice location 1
1088 9th Ave SW
Bessemer, AL 35022-7833
Phone (205) 277-2358
Other practice location 2
1925 Avenue E Ensley
Ensley, AL 35218
Phone (205) 788-5164
Other providers in Birmingham, AL
- Jodie B Benton
- Melissa H Benton
- Stacie Porter Berck
- Abigail Catherine Berger
- Chelsea Alanah Berger
- Michael Fabian Berger
- Stephanie Berger
- Suzanne M Bergman
- Matthew David Berke
- Brittany Christine Berkopec
All providers in Birmingham, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.