TAYLOR BRODIE (RDN, LD) – Registered Dietitian, NPI 1083579759

TAYLOR BRODIE (RDN, LD) is a healthcare provider. based in Cleveland, Ohio. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN, LD. They hold a License No. LD.09185 (OH). The NPI Number for TAYLOR BRODIE (RDN, LD) is 1083579759

Main info

Organization
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR BRODIE (RDN, LD)
NPI
1083579759
Phone
Not provided
Address
11100 EUCLID AVE
Enumeration Date
16 December 2025
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2020 (6 years ago)
PAC ID
5193203636
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20260127004016
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

283 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OH

Provider Addresses for TAYLOR BRODIE (RDN, LD)

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

  • 6847 N Chestnut St

    Ravenna, OH 442663929

    Phone: (330) 297-0811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260127004016IRegistered Dietitian Or Nutrition ProfessionalOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

How do payers reference TAYLOR BRODIE (RDN, LD)?
For TAYLOR BRODIE (RDN, LD), use NPI 1083579759 as the unique 10-digit identifier.
Is TAYLOR BRODIE (RDN, LD) still an active registrant?
TAYLOR BRODIE (RDN, LD) carries an active NPI according to the public dataset.
What clinical focus is listed for TAYLOR BRODIE (RDN, LD)?
At a glance, TAYLOR BRODIE (RDN, LD) is tied to Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is TAYLOR BRODIE (RDN, LD) associated with Cleveland?
Public fields place TAYLOR BRODIE (RDN, LD) around Cleveland, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TAYLOR BRODIE (RDN, LD) is noted as December 16, 2025 where the registry provides it.

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