NPIMap

Individual provider Active NPI

David Brubaker, MD

  • Family Medicine Physician
  • Houghton, NY
National Provider Identifier
1316919152
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201973 Issued in NY
Practice address
9864 Luckey Dr
Houghton, NY 14744-8706
Phone
(716) 375-7500
Fax
(716) 701-6853
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201973 NY Primary

Addresses

Primary practice location

9864 Luckey Dr
Houghton, NY 14744-8706

Mailing address

135 N Union St
Olean, NY 14760-2736
Phone (716) 701-6879

Other practice location 1

9789 CR 35
Houghton College Health Center
Houghton, NY 14744
Phone (585) 567-9483

Other identifiers 1

IdentifierTypeStateIssuer
01765966MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001359 NY Practitioner - Family Practice 7012995335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Tier Community Health Center Network IncGroup PAC ID 3375513724, 22 clinicians

Practice addresses (Care Compare)

135 N Union St
Olean, NY 14760-2736
Phone 71637575006879

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Homecare & Hospice Hospice, Allegany, NY, CCN 331549
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Wyoming County Hospital, Warsaw, NY, CCN 331323
  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Community Health Center Network, Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Southern Tier Community Health Center Network, Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Houghton College Student Health Center Family Medicine Past Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients
Emergency Medicine Physicians of Cattaraugus County, PLLC Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients

Locations

132 W Main St
Cuba, NY 14727

9864 Luckey Dr
Houghton, NY 14744

135 N Union St
Olean, NY 14760

500 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
Olean, NY 14760
Phone (716) 373-2600

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1316919152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-701-6879",
            "fax_number": "716-701-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9864 LUCKEY DR",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448706",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9789 CR 35",
            "address_2": "Houghton College Health Center",
            "address_purpose": "LOCATION",
            "city": "Houghton",
            "state": "NY",
            "postal_code": "14744",
            "country_code": "US",
            "telephone_number": "585-567-9483",
            "fax_number": "585-567-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "201973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, NY

Sources for this page

Verify at the official NPI Registry.