HERMAN WALLACE BRUBAKER (NPI# 1609870054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609870054 |
| Entity Type | Individual |
| Full Name | HERMAN WALLACE BRUBAKER |
| Credential | MD |
| Practice Address |
12 St Paul Dr Ste 101 Chambersburg PA 17201-1035 |
| Mailing Address |
785 5th Ave Suite 3 Chambersburg PA 17201-4232 |
| Practice Telephone | 7172176760 |
| Practice Fax Number | 7172176912 |
| Mailing Telephone | 7172639555 |
| Mailing Fax Number | 7172174218 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD028694E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INFORMED | 25-1716306 | 01 |
| PA | HEALTH AMERICA | 426224 | 01 |
| PA | INTERGROUP | 25-1716306 | 01 |
| PA | SOUTH CENTRAL PREFERRED | 25-1716306 | 01 |
| PA | FIRST HEALTH | 666058 | 01 |
| PA | AETNA HMO | 842753 | 01 |
| PA | HIGHMARK BLUE SHIELD | BR426736 | 01 |
| PA | LICENSE | MD028694E | 01 |
| PA | 000908788 | 05 | |
| PA | DEVON | 25-1716306 | 01 |
| PA | MULTIPLAN/PHCS | 25-1716306 | 01 |
| PA | AETNA NON-HMO | 4397945 | 01 |
| PA | DEA | AB1485805 | 01 |
| PA | GATEWAY | P006020 | 01 |
| PA | UNISON | 122715 | 01 |
| PA | CAPITAL BLUECROSS | 1806901 | 01 |
| PA | RAILROAD MEDICARE | 080086589 | 01 |
| PA | MAMSI | 247728 | 01 |
| PA | GREATWEST | 25-1716306 | 01 |
| PA | MEDICARE GROUP # | 867633 | 01 |
| PA | DEPT OF LABOR | 120420409 | 01 |
| Street Address |
12 ST PAUL DR STE 101 |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17201-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285105809 | Summit Phsician Services | Psychiatry & Neurology | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2018-12-07 |
| 1437656758 | Sandra Marie Quick | Nurse Practitioner | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2018-04-12 |
| 1508392275 | Alexander Madeira | Family Medicine | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2017-05-02 |
| 1619386091 | Rebekah R Detweiler | Nurse Practitioner | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2014-08-11 |
| 1538576137 | Dawn Shank Rheam | Nurse Practitioner | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2014-07-15 |
| 1043620529 | Ashley Brooke Martin | Family Medicine | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2014-05-05 |
| 1619241007 | Stacie Michelle Beaver | Nurse Practitioner | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2012-03-02 |
| 1154614733 | Sharon Walker | Internal Medicine | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2011-05-16 |
| 1962508895 | William Leppert | Family Medicine | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2006-09-16 |
| 1831119221 | Summit Physician Services | Nurse Practitioner | 12 St Paul Dr Ste 101, Chambersburg, PA 17201-1035 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902496 | Kerin Bielecki | Pharmacist | 1730 Lincoln Way West, Chambersburg, PA 17201 | 2020-11-02 |
| 1750995833 | Emily Suzanne Benfer | Occupational Therapist | 32 Parkwood Drive, Chambersburg, PA 17201 | 2020-09-04 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1679033963 | Hospice of Washington County, Inc. | Hospice Care, Community Based | 209 Grant Street, Chambersburg, PA 17201 | 2019-03-22 |
| 1659837540 | Dialysis Care Center Chambersburg LLC | Clinic/Center | 20 Parkwood Drive, Suite 1, Chambersburg, PA 17201 | 2019-02-15 |
| 1518423623 | Wolter Advanced Dental Care | Durable Medical Equipment & Medical Supplies | 20 Parkwood Dr., Ste 3, Chambersburg, PA 17201 | 2019-02-13 |
| 1972059202 | Lindsey Rae Hyatt | Physician Assistant | 761 Park Fifth Avenue, Chambersburg, PA 17201 | 2016-08-28 |
| 1093176943 | Marcia Rebert | Counselor | 1212 Progress Road, Chambersburg, PA 17201 | 2016-03-18 |
| 1669833471 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 968 Norland Avenue, Chambersburg, PA 17201 | 2016-03-08 |
| 1104283324 | Meagen Louise Stouffer | Acupuncturist | 394 Floral Ave, Chambersburg, PA 17201 | 2016-01-19 |
| Find all providers in zip 17201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087080 | Pinnacle Health Medical Services | Family Medicine | 761 5th Ave Ste D, Chambersburg, PA 17201-4210 | 2020-03-04 |
| 1124451018 | James D Kent | Family Medicine | 12 St Paul Dr, Chambersburg, PA 17201-1035 | 2013-08-14 |
| 1912235094 | Daniel Lyndon Mcgehee | Family Medicine | 118 College Ave, Chambersburg, PA 17201-1204 | 2009-11-30 |
| 1720293558 | Caissa Fernando Troutman | Family Medicine | 1624 Orchard Dr, Chambersburg, PA 17201-9206 | 2007-05-14 |
| 1235194770 | Norland Family Practice P.C. | Family Medicine | 3000 Philadelphia Ave, Chambersburg, PA 17201-8938 | 2006-04-18 |
| 1336122878 | Pierre B Turchi | Family Medicine | 3588 Wenger Rd, Chambersburg, PA 17202-9548 | 2005-11-29 |
| 1831184258 | James A Uslin | Family Medicine | 1000 Norland Ave, Chambersburg, PA 17201-4229 | 2005-09-12 |
| 1568462273 | Douglas R Martzluf | Family Medicine | 757 Norland Ave, Suite 101, Chambersburg, PA 17201-4230 | 2005-07-22 |
| 1396742631 | Stephen Brett Flack | Family Medicine | 3106 Philadelphia Ave, Chambersburg, PA 17201-8938 | 2005-07-01 |
| 1144227620 | Samuel Q Bricker | Family Medicine | 144 S 8th St, Suite 111, Chambersburg, PA 17201-2767 | 2005-06-30 |
| Find all providers in CHAMBERSBURG | ||||
| City | CHAMBERSBURG |
| Zip Code | 17201 |
Please comment or provide details below to improve the information on HERMAN WALLACE BRUBAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.