Individual provider Active NPI

Brandon S Rubens, M.D.

  • Urology Physician
  • Cary, NC
National Provider Identifier
1083646657
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301075887 Issued in MI
Practice address
218 Ashville Ave
Cary, NC 27518-6118
Phone
(919) 576-2330
Fax
(919) 854-7842
NPI assigned
Jul 6, 2006
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301075887 MI Primary

Addresses

Primary practice location

218 Ashville Ave
Cary, NC 27518-6118

Mailing address

7153 Talton Ridge Dr
Cary, NC 27519-9002
Phone (269) 290-3664

Other identifiers 4

IdentifierTypeStateIssuer
156574OtherGREAT LAKES HLTH PLAN
488522410MedicaidMI
3403912292OtherBCBS IND PIN
340C910480OtherBCBS GRP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000382 NC Practitioner - Urology 4486667920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

222 Ashville Ave
Cary, NC 27518-6130
Phone (919) 859-1136

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC Urology Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Healthcare Midwest PC Urology Past Accepting new patients
Wake Specialty Physicians, LLC Urology PastSince Jul 1, 2015 Accepting new patients

Locations

222 Ashville Ave
Cary, NC 27518
Phone (919) 576-2330

101 Holly Creek Rd
Morrisville, NC 27560
Phone (919) 235-6480

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 350-6002

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

1030 Siena Dr
Wake Forest, NC 27587
Phone (919) 235-6511

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1083646657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 TALTON RIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199002",
            "telephone_number": "269-290-3664",
            "fax_number": "919-854-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ASHVILLE AVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186118",
            "telephone_number": "919-576-2330",
            "fax_number": "919-854-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENS",
        "first_name": "BRANDON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301075887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HLTH PLAN",
            "identifier": "156574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488522410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PIN",
            "identifier": "3403912292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP PIN",
            "identifier": "340C910480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.