Individual provider Active NPI

Cynthia Marie Mosbrucker, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Gig Harbor, WA
National Provider Identifier
1467544460
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
60016675 Issued in WA
Practice address
11505 Burnham Drive
Suite 302
Gig Harbor, WA 98332
Phone
(253) 313-5997
Fax
(253) 313-5197
NPI assigned
Sep 28, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 60016675 WA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 60016675 WA Primary

Addresses

Primary practice location

11505 Burnham Drive
Suite 302
Gig Harbor, WA 98332

Mailing address

11505 Burnham Drive
Suite 302
Gig Harbor, WA 98332
Phone (253) 313-5997

Other names 1

  • Cindy Marie Mosbrucker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080827000583 WA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological OncologyPractitioner - Other (Physician) 0143318832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Soundview Dr
Suite 150
Gig Harbor, WA 98335-2215
Phone (253) 313-5997

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60016675WAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy M Mosbrucker, PLLC CurrentSince Jul 21, 2016 Accepting new patients
David B. Redwine, M.D.,P.C. Gynecology Past Accepting new patients

Locations

11505 Burnham Dr
Ste 302
Gig Harbor, WA 98332
Phone (253) 313-5997

5801 Soundview Dr
Ste 150
Gig Harbor, WA 98335
Phone (253) 313-5997

Interoperability endpoints

  • Direct secure messaging: cynthia.mosbrucker.1@13862.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1467544460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DRIVE",
            "address_2": "SUITE 302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-313-5997",
            "fax_number": "253-313-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DRIVE",
            "address_2": "SUITE 302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-313-5997",
            "fax_number": "253-313-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBRUCKER",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "60016675",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "WA",
            "license": "60016675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MOSBRUCKER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.