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WILLIAM LOGAN BRADLEY MS, RDN, LD
NPI 1013746833
Dietitian, Registered in Columbia, MO

Active since July 30, 2024
1600 E BROADWAY, COLUMBIA, MO 65201(573) 815-3189 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Logan Bradley Ms, Rdn, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM LOGAN BRADLEY MS, RDN, LD (NPI 1013746833) is an individual dietitian, registered in Columbia, Missouri, licensed in Missouri (2024028310) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1013746833
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameWILLIAM LOGAN BRADLEYCredential: MS, RDN, LD
Location Address1600 E BROADWAYColumbia, MO 65201-5844
Mailing Address1600 E BroadwayColumbia, MO 65201-5844 · (573) 815-3189
Phone(573) 815-3189
Sole ProprietorYes
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1013746833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MO · 2024028310
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1600 E BROADWAY, Columbia, MO 65201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA L ERION FNP-BC
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 875-8838
THOMAS WESLEY MEYER DO
Anesthesiology
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-6262
EMILY MOORE CRT
Respiratory Therapist, Certified
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-8000
EMMA L MALLORY NP-C
Nurse Practitioner
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-2700
MICHAEL HAUAN MD
Emergency Medicine
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-3573
REBEKAH BAIL
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-8000
SARAH RACHAEL KIRCHOFF
Nurse Practitioner (Family)
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-3501
DR. MICHELE A. BROTHER M.D.
Hospitalist
1600 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Bradley's NPI number?

The NPI number for William Bradley is 1013746833. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is William Bradley located?

William Bradley practices at 1600 E Broadway, Columbia, MO 65201. The listed phone number is (573) 815-3189.

What is William Bradley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for William Bradley was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.