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

Brendan Coburn, RD

Individual provider Registered Dietitian · NPI 1720480965

Brendan Coburn, RD is a Registered Dietitian in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.

Licensed in
CT
In the registry since
2014
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

595 Main St
Manchester, CT 06040-5160
Phone: (860) 559-5178
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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 03-912955 (CT)

Record details

NPI number1720480965
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESSeptember 18, 2014
Mailing address568 Foster St, South Windsor, CT 06074-2935

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