MEDICARE: MRS. DEBORAH A BRINCKMAN MS, RD, CDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L006039	NC

General Provider Information

NPI Number	:	1811251606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH A BRINCKMAN MS, RD, CDN

Provider Business Mailing Address
First Line	:	1235 EAST BLVD STE E
Second Line	:	#2271
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5876
Country	:	US
Telephone Number	:	860-967-8996
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 EAST BLVD STE E
Second Line	:	#2271
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5876
Country	:	US
Telephone Number	:	860-967-8996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	09/17/2025

Similar Medicare Providers

1972451003 — COURTNEY SHORTER
Practice Location Address:

1235 EAST BLVD STE E
CHARLOTTE, NC
28203-5876

Practice Phone: 980-213-0233
Practice Fax:

1699402065 — MRS. CAROLYN LOVETTE LANIER LCMHC
Practice Location Address:

1235 EAST BLVD STE E
CHARLOTTE, NC
28203-5876

Practice Phone: 704-606-3033
Practice Fax:

1023040888 — ALCYONE RETAIL CORP.
Practice Location Address:

1235 EAST BLVD STE K
CHARLOTTE, NC
28203-5876

Practice Phone: 704-335-4070
Practice Fax: 704-334-7040

1942535794 — DR. SOPHIA HONDROS THOMOPOULOS PHARM D
Practice Location Address:

1235 EAST BLVD STE J
CHARLOTTE, NC
28203-5876

Practice Phone: 704-910-4288
Practice Fax: 704-910-4294

1467791186 — KELLY LOUISE CHARLES MSW, LCSW, CSOTS
Practice Location Address:

1235 EAST BLVD STE E
CHARLOTTE, NC
28203-5876

Practice Phone: 866-736-6408
Practice Fax: 980-225-0506

1194124933 — SAVVY WELLNESS CENTER, PLLC
Practice Location Address:

1235 EAST BLVD , SUITE E
CHARLOTTE, NC
28203-5876

Practice Phone: 866-736-6408
Practice Fax: 980-225-0506

Directions to “ MRS. DEBORAH A BRINCKMAN MS, RD, CDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.