DEREK GLENN BRUBAKER


Address: 555 N Duke St, Lancaster, PA 17602-2250
Phone: 7175444995

DEREK GLENN BRUBAKER (NPI# 1629680889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629680889
Entity Type Individual
Full Name DEREK GLENN BRUBAKER
Practice Address 555 N Duke St
Lancaster
PA 17602-2250
Mailing Address 539 W Walnut St
Lancaster
PA 17603-3337
Practice Telephone 7175444995
Mailing Telephone 7175755087
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP022377 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 555 N DUKE ST
City LANCASTER
State PA
Zip Code 17602-2250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940349 Cindy Janesky Radiology 555 N Duke St, Lancaster, PA 17602-2250 2005-05-23
1205437076 Heather Long Student in an Organized Health Care Education/Training Program 555 N Duke St, Lancaster, PA 17602-2250 2020-11-06
1326647074 Danielle Marie Nusbaum Nurse Practitioner 555 N Duke St, Lancaster, PA 17602-2250 2020-10-23
1558978783 Danielle K Robertson Clinical Nurse Specialist 555 N Duke St, Lancaster, PA 17602-2250 2020-10-01
1629684766 Devi Naraine Internal Medicine 555 N Duke St, Lancaster, PA 17602-2250 2020-09-22
1740895630 Lanaster General Hospital Nurse Anesthetist, Certified Registered 555 N Duke St, Lancaster, PA 17602-2250 2020-09-09
1700496221 April Weirich Nurse Practitioner 555 N Duke St, Lancaster, PA 17602-2250 2020-08-10
1902414717 Andrea Castillo Nurse Practitioner 555 N Duke St, Lancaster, PA 17602-2250 2020-07-17
1366068660 Kyle Lau Student in an Organized Health Care Education/Training Program 555 N Duke St, Lancaster, PA 17602-2250 2020-06-23
1750907630 John Allen Student in an Organized Health Care Education/Training Program 555 N Duke St, Lancaster, PA 17602-2250 2020-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093313173 Taylor Giambrone Registered Nurse Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 2020-10-12
1982268843 Blanche Nichole Breznak Pharmacist 201 East Chestnut St, Lancaster, PA 17602 2019-04-25
1285104851 Stephanie Benedict Pharmacist 1603 Lincoln Highway East, Lancaster, PA 17602 2018-11-27
1043709835 Deborah J Campos-bard, Lmt Massage Therapist 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 2018-05-07
1861989493 Functional Freedom LLC Occupational Therapist 105 Heritage Rd., Lancaster, PA 17602 2018-04-19
1083094577 Gracie Berry Counselor 413 Church St, Lancaster, PA 17602 2015-06-01
1366835597 Holcomb Associates, Inc. Community/Behavioral Health 800 New Holland Avenue, Lancaster, PA 17602 2015-03-12
1205236965 Maria Taylor Physician Assistant 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 2014-09-01
1114355104 Charles Eugene Stream Physician Assistant 133 East Fredeick Street, Lancaster, PA 17602 2013-10-29
1710221668 Kourtney Randsdorp Occupational Therapist 105 Heritage Rd, Lancaster, PA 17602 2012-11-15
Find all providers in zip 17602

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891395406 Eimy Aguilar Nurse Practitioner 18 Descartes Dr, Lancaster, PA 17603-8861 2020-11-01
1083211361 Jessica Nicole Paradise Nurse Practitioner 2112 Harrisburg Pike Ste 3, Lancaster, PA 17601-2644 2020-10-08
1497360184 Wambui June Mwangi Nurse Practitioner 1821 Kaylyn St, Lancaster, CA 93535-2970 2020-09-10
1245841063 Shannah Click Nurse Practitioner 1683 Kirksville Rd, Lancaster, KY 40444-9715 2020-08-14
1609498658 Christien Eileen Olewniczak Nurse Practitioner 3592 Walden Ave Apt 3, Lancaster, NY 14086-1267 2020-05-13
1154955565 Courtney Phillips Nurse Practitioner 333 Lancaster Byp E, Lancaster, SC 29720-4758 2020-02-24
1609416205 Michelle De Ynchausti Nurse Practitioner 42135 10th St W Ste 201, Lancaster, CA 93534-6093 2020-01-10
1073151049 Julia Scott Nurse Practitioner 667 Steinman Dr, Lancaster, PA 17603-2351 2019-12-20
1780229682 Brandi Ann Tipple Nurse Practitioner 2855 Wheeling Rd Ne, Lancaster, OH 43130-8508 2019-11-14
1346891827 Rebecca Rozenberg Nurse Practitioner 7060 Hemlock Avenue, Lancaster, CA 93536 2019-09-25
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 17602

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Dataset Information

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.

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