Bradley Anderson, RDN
Individual provider Active NPI Registered Dietitian · Mansfield, OH
NPI 1912401209 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1912401209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 1025 South Trimble Rd.
Mansfield, OH 44906 - Phone
- (419) 529-4602
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
1025 South Trimble Rd.
Mansfield, OH 44906
Mailing address
1025 South Trimble Rd.
Mansfield, OH 44906
Other providers in Mansfield, OH
- American Home Health Care Inc
- Alexis Ryanne Amstutz
- Gavin Raymond Anable
- Artise L. Anderson
- Ashleigh E Anderson
- John Robert Anderson
- Maja-Lisa C Anderson
- Pauline V Anderson
- Stephen Anderson
- Tajee Anderson
All providers in Mansfield, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 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.