TYRA CHAY BRADBURY RD NPI 1073871232

NPI Information

  • NPI: 1073871232
  • Provider Name: TYRA CHAY BRADBURY, RD
  • Classification: Dietitian, Registered - 133VN1004X
  • Specialization: Nutrition, Pediatric
  • Entity Type: Individual
  • Address: 165 ASHLEY AVE
    MSC 905
    CHARLESTON, SC
    ZIP 29425
  • Phone: (843) 792-3880

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NPI Details

Tyra Chay Bradbury, RD is a nutrition and pediatric dietitian registered in Charleston, SC. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Tyra Chay Bradbury, RD NPI is 1073871232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

165 ASHLEY AVE
MSC 905
CHARLESTON, SC
ZIP 29425-905
Phone: (843) 792-3880

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1004XDietitian, RegisteredNutrition, Pediatric1014SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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