Drucilla M Brandeberry, RD, CD, CDE
Individual provider Active NPI Registered Dietitian · Anchorage, AK
NPI 1891807129 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891807129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 57 (AK)
- Practice address
- 2925 Debarr Rd
Anchorage, AK 99508-2983 - Phone
- (907) 257-4890
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57 | AK | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 57 | AK | Yes |
Addresses
Primary practice location
2925 Debarr Rd
Anchorage, AK 99508-2983
Mailing address
6941 Tall Spruce Dr
Anchorage, AK 99502-2745
Phone (907) 248-5283
Other providers in Anchorage, AK
- Evan Braithwaite
- Theresa L Bramel
- Shauna Branche
- Branching Out Supported Services LLC
- Jeff Ira Brand
- Anna U Brandes
- Michael D Brandner
- Jordyn Brandsema
- Alexander Reed Brandt
- Brandvold & Associates LLC
All providers in Anchorage, AK · Registered Dietitian in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.