Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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William Logan Bradley, MS, RDN, LD

Individual provider Registered Dietitian · NPI 1013746833

William Logan Bradley, MS, RDN, LD is a Registered Dietitian in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-3189
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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 2024028310 (MO)

Record details

NPI number1013746833
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RDN , LD
Sole proprietorYes
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address1600 E Broadway, Columbia, MO 65201-5844

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