Individual provider Active NPI

Bruna Gutierrez Dos Santos, PHD, RDN

  • Registered Dietitian
  • Greensboro, NC
National Provider Identifier
1801697362
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L008595 Issued in NC
Practice address
503 Carowill Dr Apt 206
Greensboro, NC 27455-3377
Phone
(336) 662-3274
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X 86175773 NC
Registered Dietitian 133V00000X L008595 NC Primary

Addresses

Primary practice location

503 Carowill Dr Apt 206
Greensboro, NC 27455-3377

Mailing address

503 Carowill Dr Apt 206
Greensboro, NC 27455-3377
Phone (336) 662-3274

Other practice location 1

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone (336) 272-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501001124 NC Practitioner - Registered Dietitian Or Nutrition Professional 4385160449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86175773NCMDSports Dietetics Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince May 19, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince May 19, 2025 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1801697362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CAROWILL DR APT 206",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553377",
            "telephone_number": "336-662-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CAROWILL DR APT 206",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553377",
            "telephone_number": "336-662-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Wendover Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011210",
            "country_code": "US",
            "telephone_number": "336-272-6161",
            "fax_number": "336-230-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ DOS SANTOS",
        "first_name": "BRUNA",
        "credential": "PHD, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NC",
            "license": "86175773",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L008595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.