Individual provider Active NPI

Shelby B Bradford, MCN, RD, LD

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1932763844
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT85131 Issued in TX
Practice address
10300 N Central Expy Ste 325
Dallas, TX 75231-8657
Phone
(972) 821-9557
Fax
(972) 525-4731
NPI assigned
Apr 25, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 DT85131 TX Primary

Addresses

Primary practice location

10300 N Central Expy Ste 325
Dallas, TX 75231-8657

Mailing address

102 E Broad St Unit 1642
Forney, TX 75126-9778
Phone (972) 821-9557

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT85131TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Shelby the Rd CurrentSince Feb 1, 2020 Accepting new patients

Locations

10300 N Central Expy
Ste 325
Dallas, TX 75231
Phone (469) 606-9471

Interoperability endpoints

  • Direct secure messaging: shelbybradford@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1932763844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E BROAD ST UNIT 1642",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269778",
            "telephone_number": "972-821-9557",
            "fax_number": "972-525-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY STE 325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318657",
            "telephone_number": "972-821-9557",
            "fax_number": "972-525-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "SHELBY",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "MCN, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.