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BAILEY BROCKELBANK MS, RDN, LD
NPI 1295686103
Dietitian, Registered in Anderson, SC

Active since February 05, 2026
201 JOHN RUTLEDGE ST, ANDERSON, SC 29621(864) 245-8918 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bailey Brockelbank Ms, Rdn, Ld NPPES

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

BAILEY BROCKELBANK MS, RDN, LD (NPI 1295686103) is an individual dietitian, registered in Anderson, South Carolina and active in the NPI registry since February 2026. She is a graduate of University Of Alabama School Of Medicine (2024).

NPPES Registry Identity

NPI1295686103
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBAILEY BROCKELBANKCredential: MS, RDN, LD
Location Address201 JOHN RUTLEDGE STAnderson, SC 29621-1807
Mailing Address3724 Jefferson St Ste 104Austin, TX 78731-6204 · (864) 245-8918
Phone(864) 245-8918
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2024
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1295686103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
201 JOHN RUTLEDGE ST, Anderson, SC 29621
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailey Brockelbank Ms, Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406322346
PECOS Enrollment IDI20260417000798

Medicare Billing Reassignment

Medicare enrollment records show Bailey Brockelbank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anmed Health
1.1 mi
Internal Medicine
100 HEALTHY WAY
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 269 clinicians in this Medicare group
NPI 1285154914 (864) 512-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bailey Brockelbank's NPI number?

The NPI number for Bailey Brockelbank is 1295686103. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Where is Bailey Brockelbank located?

Bailey Brockelbank practices at 201 John Rutledge St, Anderson, SC 29621. The listed phone number is (864) 245-8918.

What is Bailey Brockelbank's specialty?

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

Is Bailey Brockelbank enrolled in Medicare?

Yes. Bailey Brockelbank is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bailey Brockelbank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Brockelbank reassigns Medicare benefits to Anmed Health (Anderson, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bailey Brockelbank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bailey Brockelbank was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.