Individual provider Active NPI

Richard Brubaker, LMSW

  • Social Worker
  • Gilbert, AZ
National Provider Identifier
1285036798
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-13809 Issued in AZ
Practice address
2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405
Phone
(480) 507-2213
NPI assigned
Sep 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-13809 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405

Mailing address

2451 E Baseline Rd Ste 130
Gilbert, AZ 85234-2487
Phone (480) 776-7155

Other practice location 1

815 E University Dr
Mesa, AZ 85203-8032
Phone (480) 776-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-13809AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pediatrics, Inc CurrentSince Mar 31, 2024 Accepting new patients
Canyon Pediatrics, Inc CurrentSince Feb 18, 2024 Accepting new patients

Locations

2451 E Baseline Rd
Ste 130
Gilbert, AZ 85234
Phone (480) 507-2213

2451 E Baseline Rd
Ste 200
Gilbert, AZ 85234
Phone (480) 507-2199

815 E University Dr
Mesa, AZ 85203
Phone (480) 507-2199

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBGIBD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1285036798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342487",
            "telephone_number": "480-776-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342405",
            "telephone_number": "480-507-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 E University Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852038032",
            "country_code": "US",
            "telephone_number": "480-776-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "RICHARD",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-13809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.