Individual provider Active NPI

Bethany Joy Brady, RD

  • Registered Dietitian
  • Abilene, TX
National Provider Identifier
1821814534
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT83909 Issued in TX
Practice address
820 N 19TH St
Abilene, TX 79601-2400
Phone
(325) 670-5939
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT83909 TX Primary

Addresses

Primary practice location

820 N 19TH St
Abilene, TX 79601-2400

Mailing address

820 N 19TH St
Abilene, TX 79601-2400
Phone (325) 670-5970

Other practice location 1

1888 Antilley Rd Ste 200
Abilene, TX 79606-1312
Phone (325) 670-6580

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jan 1, 2025 Accepting new patients
Hendrick Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Jan 1, 2025 Accepting new patients
Hendrick Medical Center PastSince Dec 1, 2024 Accepting new patients

Locations

1888 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 268-0691

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1821814534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N 19TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012400",
            "telephone_number": "325-670-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N 19TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012400",
            "telephone_number": "325-670-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1888 Antilley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796061312",
            "country_code": "US",
            "telephone_number": "325-670-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "BETHANY",
        "middle_name": "JOY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.