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GWYNETH LYNNETTE BRADSHAW RD
NPI 1093331928
Dietitian, Registered in Salisbury, MD

Active since June 16, 2020Accepts Medicare Assignment
724 E MAIN ST, SALISBURY, MD 21804(443) 397-6647 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwyneth Lynnette Bradshaw Rd NPPES

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

GWYNETH LYNNETTE BRADSHAW RD (NPI 1093331928) is an individual dietitian, registered in Salisbury, Maryland, licensed in Maryland (DX4449) and active in the NPI registry since June 2020. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1093331928
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGWYNETH LYNNETTE BRADSHAWCredential: RD
Location Address724 E MAIN STSalisbury, MD 21804-5037
Mailing Address724 E Main StSalisbury, MD 21804-5037 · (443) 397-6647
Phone(443) 397-6647
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1093331928 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 MD · DX4449
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.
724 E MAIN ST, Salisbury, MD 21804
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Other Names 1

Former Name (1)Gwyneth Lynnette Hazel

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwyneth Lynnette Bradshaw Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890109656
PECOS Enrollment IDI20210208000539

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MICHELLE LYNN DIX
Dietitian, Registered
724 E MAIN ST
SALISBURY, MD 21804
Wicomico County (443) 944-9544
FIXER UPPER FITNESS LLC
Dietitian, Registered
724 E MAIN ST
SALISBURY, MD 21804
Wicomico County (443) 397-6647
ELIZABETH KELLY JOHNSON DPT
Physical Therapist
724 E MAIN ST
SALISBURY, MD 21804
Wicomico County (410) 713-4227

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 Gwyneth Bradshaw's NPI number?

The NPI number for Gwyneth Bradshaw is 1093331928. It was assigned to this individual provider in the NPPES registry on June 16, 2020. The provider is also known as Gwyneth Lynnette Hazel.

Where is Gwyneth Bradshaw located?

Gwyneth Bradshaw practices at 724 E Main St, Salisbury, MD 21804. The listed phone number is (443) 397-6647.

What is Gwyneth Bradshaw's specialty?

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

Is Gwyneth Bradshaw enrolled in Medicare?

Yes. Gwyneth Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gwyneth Bradshaw was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.