Provider Demographics
NPI:1427858794
Name:BRAGG, MEGAN (PHD RDN LDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BRAGG
Suffix:
Gender:
Credentials:PHD RDN LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CASTLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2902
Mailing Address - Country:US
Mailing Address - Phone:302-312-1826
Mailing Address - Fax:
Practice Address - Street 1:12 CASTLE ROCK RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2902
Practice Address - Country:US
Practice Address - Phone:302-312-1826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN009000133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered