Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke A Fenneman, RD

Individual provider Registered Dietitian · NPI 1669131850

Brooke A Fenneman, RD is a Registered Dietitian OR Nutrition Professional in Indianapolis, Indiana. Qualified in 2010, 16 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

7240 Shadeland Sta Ste 200
Indianapolis, IN 46256-3968
Phone: (317) 621-2677
Fax: (317) 621-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37002005A (IN)
Registered Dietitian Taxonomy 133V00000X · Licence 964543 (IN)

Record details

NPI number1669131850
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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