| Bracha Brown, RD | |
|
18024 Carrollwood Dr, Dallas, TX 75252-6330 | |
| (516) 784-9271 | |
| Not Available |
| Full Name | Bracha Brown |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 18024 Carrollwood Dr, Dallas, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336921410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT87388 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brendel Plonka Rdn, Llc | 5496130197 | 2 |
| Nourish, Inc. | 1557724937 | 288 |
| Provider Name | Brendel Plonka Rdn, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588305213 PECOS PAC ID: 5496130197 Enrollment ID: O20220916000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Bracha Brown, RD 18024 Carrollwood Dr, Dallas, TX 75252-6330 Ph: (516) 784-9271 | Bracha Brown, RD 18024 Carrollwood Dr, Dallas, TX 75252-6330 Ph: (516) 784-9271 |
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