Brubaker Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRUBAKER FAMILY PRACTICE, P.C.

Practice address

1311 E 3Rd St
Casper, WY 82601-2934

Phone

(307) 265-2772

Fax

(307) 265-2773

NPI assigned

Aug 31, 2007

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elbridge Lee Brubaker, M.D.

Title

President

Phone

(307) 265-2772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1346434487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E 3RD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012934",
            "telephone_number": "307-265-2772",
            "fax_number": "307-265-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E 3RD ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012934",
            "telephone_number": "307-265-2772",
            "fax_number": "307-265-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUBAKER FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "ELBRIDGE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-265-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.