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

Prof. Brian D. Carroll

Individual provider Registered Dietitian · NPI 1558789479

Prof. Brian D. Carroll is a Registered Dietitian in Marion, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1909 W Coolidge Ave
Marion, IL 62959-1097
Phone: (618) 997-5677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164003714 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 2014006008 (MO)

Record details

NPI number1558789479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2014
Last updated in NPPESMarch 29, 2014
Mailing address1718 Winery Rd, West Frankfort, IL 62896-4907

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