Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brogan Taylor-Hickie, RD

Individual provider Registered Dietitian · NPI 1255905378

Brogan Taylor-Hickie, RD is a Registered Dietitian OR Nutrition Professional in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Surely Health Inc, a 48-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1441 N 12th St
Phoenix, AZ 85006-2837
Phone: (602) 521-5180
Fax: (602) 521-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1255905378
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Surely Health Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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