Bonnie Lynn Brock, MPH, RD, LDN, NMD
NPI 1285171504ActiveIndividual· Dietitian, Registered· Scottsdale, AZ
Dietitian, Registered (MPH, RD, LDN, NMD) in Scottsdale, Arizona, licensed in IL and AZ, with an NPI issued in January 2017. Part D covered 43 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1285171504 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPH, RD, LDN, NMD |
| Sole proprietor | No |
| NPI issued | Jan 24, 2017 |
| Last updated in NPPES | Oct 5, 2021 |
| Certified by provider | Oct 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164006979 | IL |
| Naturopath | 175F00000X | 20-1917 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 70 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $936.70 |
| Generic share | 93% of claims |
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All 151 registered dietitians in Scottsdale · All registered dietitians in Arizona