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

Kenneth D Brewer, RDN

Individual provider Registered Dietitian · NPI 1871089052

Kenneth D Brewer, RDN is a Physician Assistant in Fairbanks, Alaska. Qualified in 2022, 4 years ago. Practices with Golden Heart Emergency Physicians Inc, a 20-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2018
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1650 Cowles St
Fairbanks, AK 99701-5907
Phone: (907) 458-6943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 W Northern Lights Blvd, Anchorage, AK 99503-2408 — (907) 854-3391

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1871089052
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN
Sole proprietorYes
NPI enumeratedJuly 10, 2018
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address1010 8th Ave, Fairbanks, AK 99701-4437

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Golden Heart Emergency Physicians Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairbanks