Brandon James Borom, RDN LMT MBW BSN is a
Nutritionist based in Sparks, Nevada. Brandon James Borom is licensed to practice in Nevada (license number ) and his current practice location is
885 Sparks Blvd Ste 300, Sparks, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 527-7950.
NPI number for Brandon James Borom is 1093285850 and his current mailing address is 885 Sparks Blvd Ste 300, Sparks, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093285850.
Healthcare Provider's Profile
| Full Name | Brandon James Borom |
|---|
| Gender | Male |
|---|
| Speciality | Nutritionist |
|---|
| Location | 885 Sparks Blvd Ste 300, Sparks, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093285850
- Provider Enumeration Date: 12/04/2018
- Last Update Date: 02/11/2021
Medical Identifiers
Medical identifiers for Brandon James Borom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093285850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 86177356 (Nevada) | Secondary |
| 172M00000X | Mechanotherapist | NVMT.6268 (Nevada) | Secondary |
| 173C00000X | Reflexologist | NVMT.6268 (Nevada) | Secondary |
| 225700000X | Massage Therapist | NVMT.6268 (Nevada) | Secondary |
| 226300000X | Kinesiotherapist | NVMT.6268 (Nevada) | Secondary |
| 133N00000X | Nutritionist | (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon James Borom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandon James Borom, RDN LMT MBW BSN
885 Sparks Blvd Ste 300,
Sparks, NV 89434-7933
Ph: (775) 527-7950 | Brandon James Borom, RDN LMT MBW BSN
885 Sparks Blvd Ste 300,
Sparks, NV 89434-7933
Ph: (775) 527-7950 |
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