IndividualActive
Tyra Bradbury, RD
NPI 1073871232 · Pediatric Nutrition Registered Dietitian · Charleston, SC
Provider details
- NPI number
- 1073871232
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 1014 (SC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
165 Ashley Ave
Msc 905
Charleston, SC 29425-8905
Phone: (843) 792-3880
Approximate (ZIP-level) locationGet directions
Mailing address
165 Ashley Ave
Charleston, SC 29425-8905
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.