MEDICARE: EATING WITH BRACHA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian
2	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1679361315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EATING WITH BRACHA INC

Provider Business Mailing Address
First Line	:	18024 CARROLLWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-6330
Country	:	US
Telephone Number	:	516-784-9271
Fax Number	:

Provider Business Practice Location Address
First Line	:	18024 CARROLLWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-6330
Country	:	US
Telephone Number	:	516-784-9271
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRACHA BROWN
Credential	:
Telephone Number	:	972-695-3663

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “EATING WITH BRACHA INC ” Practice Location

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