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

Individual provider Registered Dietitian · NPI 1477728178

Brenda Lynn Bourn, RD is a Registered Dietitian OR Nutrition Professional in Boise, Idaho. Qualified in 2001, 25 years ago. Practices with Dhhs IHS Phoenix Area, a 27-clinician group and accepts Medicare assignment. Licensed in Arizona, Idaho and New Mexico.

Years since qualifying
25
Licensed in
AZ, ID, NM
In the registry since
2008
Specialties on file
3
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1226 W River St
Boise, ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190
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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 D-742 (ID)
Registered Dietitian Taxonomy 133V00000X · Licence 00864302 (AZ)
Registered Dietitian Taxonomy 133V00000X · Licence 00777 (NM)

Record details

NPI number1477728178
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedApril 24, 2008
Last updated in NPPESAugust 31, 2025
Certification dateAugust 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Dhhs Ihs Phoenix Area — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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