Sally Jackson Brozek, RD,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000987 Issued in GA

Practice address

1968 Peachtree Rd NW
Building 77
Atlanta, GA 30309-1281

Phone

(404) 605-3828

Fax

(404) 350-0380

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Hospital, Inc

  dba Piedmont Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770658288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SUPERIOR AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301402",
            "telephone_number": "404-605-3828",
            "fax_number": "404-350-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "address_2": "BUILDING 77",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-3828",
            "fax_number": "404-350-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZEK",
        "first_name": "SALLY",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "RD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiana Brownlee, RN
• Michael Brownstein, MD
• Latonya Shadella Brownteasley, CERTIFIED NURSES AS
• Enid Broyard, FNP-BC
• Laura Nichole Broyles, MD
• Bruce E. Atkinson, PH.D., PC
• Barbara A Bruce, MD
• Beau Benjamin Bruce, M.D.
• Carlyle Bruce
• Darrell Nayo Bruce, PA-S

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.