Daniel B Brubaker, D.O.

Primary specialty

Immunopathology PhysicianTaxonomy code 207ZI0100X

License

020A53070 Issued in CA

Practice address

3726 N 1St St
Fresno, CA 93726-5601

Phone

(559) 248-0116

Fax

(559) 248-0119

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Muscular Skeletal Medical Associates, Inc

  • Immunopathology Physician
  • Fresno, CA
  • NPI 1902905755
  Medicare reassignment Authorized official
• Central California Faculty Medical Group, Inc.

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1992742852
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467559526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-248-0116",
            "fax_number": "559-248-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-248-0116",
            "fax_number": "559-248-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "CA",
            "license": "020A53070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B58262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Dianne Brownell, NP
• Marina Kylie Brownlee
• Gilda Brownrigg
• Jeremy Lee Brownstein, L.C.S.W.
• William Timothy Brox, MD
• Jeremiah Brubaker
• Nadine Isabelle Brubaker, OD
• Bruce J Witmer, M.D., Professional Corporation
• Bruce P. Decarlo, MD, Inc.
• Elizabeth J Bruce, MD

• Immunopathology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Immunopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.