Brady Jiter, is a
Dietitian, Registered based in Jonesboro, Illinois. Brady Jiter is licensed to practice in * (Not Available) (license number ) and his current practice location is
310 Cook Ave, Jonesboro, Illinois. He can be reached at his office (for appointments etc.) via phone at
(720) 576-9480.
NPI number for Brady Jiter is 1427823111 and his current mailing address is 310 Cook Ave, Jonesboro, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427823111.
Healthcare Provider's Profile
| Full Name | Brady Jiter |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 310 Cook Ave, Jonesboro, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427823111
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 11/22/2023
Medical Identifiers
Medical identifiers for Brady Jiter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427823111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brady Jiter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brady Jiter, 310 Cook Ave, Jonesboro, IL 62952-1101 Ph: Not Available | Brady Jiter, 310 Cook Ave, Jonesboro, IL 62952-1101 Ph: (720) 576-9480 |
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