Provider Demographics
NPI:1386228112
Name:BELCHER, BRITTANY JO (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JO
Last Name:BELCHER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:JO
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-5478
Mailing Address - Fax:205-638-2850
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-5478
Practice Address - Fax:205-638-2850
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2675133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered