DR. BONNIE LYNN BROCK MPH, RD, LDN, NMD - NPI 1285171504 - Dietitian, Registered in Scottsdale, AZ

Q: What is Bonnie Brock's NPI number?

The NPI number for Bonnie Brock is 1285171504. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is Bonnie Brock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Brock was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Dr. Bonnie Lynn Brock Mph, Rd, Ldn, Nmd NPPES

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

DR. BONNIE LYNN BROCK MPH, RD, LDN, NMD (NPI 1285171504) is an individual dietitian, registered in Scottsdale, Arizona, licensed in Illinois (164006979) and active in the NPI registry since January 2017. She maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1285171504

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDR. BONNIE LYNN BROCKCredential: MPH, RD, LDN, NMD

Location Address13951 N SCOTTSDALE RD STE 110Scottsdale, AZ 85254-3454

Mailing Address6501 E Greenway Pkwy # 103-602Scottsdale, AZ 85254-2025 · (847) 903-0503

Phone(480) 702-1537

Sole ProprietorNo

Enumeration DateJanuary 24, 2017

Last NPPES UpdateOctober 5, 20214 updates tracked since enumeration

NPPES CertifiedOctober 5, 2021

✔ NPI 1285171504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164006979

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.

Also ListedNaturopathTaxonomy 175F00000X · License 20-1917 (AZ)

13951 N SCOTTSDALE RD STE 110, Scottsdale, AZ 85254

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Secondary Practice Location 1

Location 1708 Church StEvanston, IL 60201 · Phone (847) 903-0503

Other Providers at the Same Location NPPES 7

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

MRS. ROBIN CARMELLA LOMMORI IBCLC

Midwife