MARY ELIZABETH BRADSHAW MBA, RD, LDN
NPI 1790641645
Dietitian, Registered in Salisbury, NC

Q: What is Mary Bradshaw's NPI number?

The NPI number for Mary Bradshaw is 1790641645. It was assigned to this individual provider in the NPPES registry on January 5, 2026. The provider is also known as Mary Elizabeth Vandergriff Mba, Rd, Ldn.

Q: What is Mary Bradshaw'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 Mary Bradshaw was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 05, 2026

501 N MAIN ST, SALISBURY, NC 28144(980) 330-6808 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Feb 3, 2026, Jan 5, 2026 (3 updates tracked since 2026).

On this page

About Mary Elizabeth Bradshaw Mba, Rd, Ldn NPPES

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

MARY ELIZABETH BRADSHAW MBA, RD, LDN (NPI 1790641645) is an individual dietitian, registered in Salisbury, North Carolina, licensed in North Carolina (L009201) and active in the NPI registry since January 2026. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1790641645

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY ELIZABETH BRADSHAWCredential: MBA, RD, LDN

Location Address501 N MAIN STSalisbury, NC 28144-4303

Mailing AddressPo Box 604050Charlotte, NC 28260-4050 · (980) 330-6808 · Fax (980) 330-6938

Phone(980) 330-6808

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 5, 2026

Last NPPES UpdateApril 2, 20263 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1790641645 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 NC · L009201

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.

501 N MAIN ST, Salisbury, NC 28144

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Elizabeth Vandergriff Mba, Rd, Ldn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Bradshaw Mba, Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315416963

PECOS Enrollment IDI20260513002520

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.

AMY KAYE MATSUMOTO RD

Dietitian, Registered