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

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