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TYRA CHAY BRADBURY RD
NPI 1073871232
Dietitian, Registered - Nutrition, Pediatric in Charleston, SC

Active since April 25, 2012
165 ASHLEY AVE, MSC 905, CHARLESTON, SC 29425(843) 792-3880 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyra Chay Bradbury Rd NPPES

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

TYRA CHAY BRADBURY RD (NPI 1073871232) is an individual nutrition, pediatric provider in Charleston, South Carolina, licensed in South Carolina (1014) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1073871232
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameTYRA CHAY BRADBURYCredential: RD
Location Address165 ASHLEY AVE, MSC 905Charleston, SC 29425-8905
Mailing Address165 Ashley Ave, Msc 905Charleston, SC 29425-8905 · (843) 792-3880
Phone(843) 792-3880
Sole ProprietorNo
Enumeration DateApril 25, 2012
✔ NPI 1073871232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in SC · 1014
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

165 ASHLEY AVE, Charleston, SC 29425
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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.

MRS. AMY BILBO MS, RD, LD, CNSC
Dietitian, Registered
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Charleston County (843) 876-7271
MRS. CECILIA KENNEDY MCMILLAN RD
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH1108
CHARLESTON, SC 29425
Charleston County (843) 792-9774
MRS. KRISTIN BLANCH CRADY RD, CNSD
Dietitian, Registered
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MRS. KRISTI LYNN FOGG MS, RD, LD
Dietitian, Registered
165 ASHLEY AVE, SUITE EH110
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MS. CAROLYN WEIGLEIN FINCH RD
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH 1108
CHARLESTON, SC 29425
Charleston County (843) 792-8933
MS. NICOLE RIEBE PORRO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 876-7080
MRS. AMBER NICOLE MONROE MSN, APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1272
MARY MORGAN HAMILTON MD
Pediatrics
165 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-8972

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 Tyra Bradbury's NPI number?

The NPI number for Tyra Bradbury is 1073871232. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Tyra Bradbury located?

Tyra Bradbury practices at 165 Ashley Ave Msc 905, Charleston, SC 29425. The listed phone number is (843) 792-3880.

What is Tyra Bradbury's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Tyra Bradbury was last updated on April 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.