Brendan Wadlow
NPI 1063106821 · Pediatric Nutrition Registered Dietitian · Phoenix, AZ
Brendan Wadlow is a Pediatric Nutrition Registered Dietitian provider in Phoenix, AZ (NPI 1063106821).
Provider details
- NPI number
- 1063106821
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2025-09-11
- Certified
- 2023-06-05
Frequently asked questions
- What is Brendan Wadlow's NPI number?
- Brendan Wadlow's National Provider Identifier (NPI) is 1063106821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brendan Wadlow's specialty?
- Brendan Wadlow is listed in the NPPES registry with a primary specialty of Pediatric Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Brendan Wadlow located?
- Brendan Wadlow's practice location on file with NPPES is 4410 N 99th Ave Apt 2072, Phoenix, AZ 85037-5944.
- What is Brendan Wadlow's phone number?
- The practice phone number listed in the NPPES registry for Brendan Wadlow is (928) 232-0764.
- Is Brendan Wadlow's NPI active?
- Yes — Brendan Wadlow's NPI (1063106821) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.