P Praxis·MD
● Active Type 1 · Individual

MS. Tracy L Bruen, MS, RD, LDN

Dietitian, Registered·Lake Jackson, TX· NPI 1609939636 · Enumerated 2006 · 19 years on NPI
Bruen is 1 of 11 dietitian, registered providers in Lake Jackson and 1 of 5402 in Texas.
NPI age
19 years
Enumerated 2006-12-19
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-12-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
19 years
↑ 13 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Medical Drive
Lake Jackson, TX 775665690
📞 9792851602fax 9792992816
Mailing address
100 Medical Drive
Lake Jackson, TX 775665690
📞 9792851602fax 9792992816

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    TX license #DT80898 taxonomy 133V00000X

Identifiers

TypeValueNotes
01 (TX) DT80898 TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dietitian, registered provider has been added in Lake Jackson in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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