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BRENDAN COBURN RD
NPI 1720480965
Dietitian, Registered in Manchester, CT

Active since September 18, 2014
595 MAIN ST, MANCHESTER, CT 06040(860) 559-5178 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brendan Coburn Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN COBURN RD (NPI 1720480965) is an individual dietitian, registered in Manchester, Connecticut, licensed in Connecticut (03-912955) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1720480965
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameBRENDAN COBURNCredential: RD
Location Address595 MAIN STManchester, CT 06040-5160
Mailing Address568 Foster StSouth Windsor, CT 06074-2935 · (860) 559-5178
Phone(860) 559-5178
Sole ProprietorNo
Enumeration DateSeptember 18, 2014
✔ NPI 1720480965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CT · 03-912955
Definition
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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
595 MAIN ST, Manchester, CT 06040
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY H. KATZ, M.D., L.L.C.
Internal Medicine
595 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1000
DR. YOULAN TANG-KIPERS M.D.
Family Medicine
595 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1000
DR. CHRISTINA LILLYWHITE APRN, FNP-C
Nurse Practitioner (Family)
595 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1000
CORNERSTONE NUTRITION, LLC
Dietitian, Registered
595 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 559-5178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Coburn's NPI number?

The NPI number for Brendan Coburn is 1720480965. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Brendan Coburn located?

Brendan Coburn practices at 595 Main St, Manchester, CT 06040. The listed phone number is (860) 559-5178.

What is Brendan Coburn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Brendan Coburn was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.