Derek Glenn Brubaker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP022377 Issued in PA

Practice address

555 N Duke St
Lancaster, PA 17602-2250

Phone

(717) 544-4995

NPI assigned

Aug 19, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster General Hospital 520 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbrubaker83927@direct-lghealth.org

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.

• Lancaster General Hospital

  • Surgery Physician
  • Lancaster, PA
  • NPI 1154331775

  PA

  Medicare reassignment Care Compare group NPD
• Lancaster General Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lancaster, PA
  • NPI 1598038804

  PA

  Medicare reassignment Care Compare group NPD
• Lancaster General Hospital

  • Community/Retail Pharmacy
  • Lancaster, PA
  • NPI 1023037090
  Care Compare group
• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare group
• Lancaster General Hospital

  • Clinical Neuropsychologist
  • Lancaster, PA
  • NPI 1114012002
  Care Compare group
• Lancaster General Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Lancaster, PA
  • NPI 1265535645
  Care Compare group
• Lancaster General Hospital

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1306961800
  Care Compare group
• Lancaster General Hospital

  • Hospitalist Physician
  • Lancaster, PA
  • NPI 1487904769
  Care Compare group
• Lancaster General Hospital

  • Prosthetic/Orthotic Supplier
  • Lancaster, PA
  • NPI 1497193932
  Care Compare group
• Lancaster General Hospital

  • Plastic and Reconstructive Surgery Physician
  • Lancaster, PA
  • NPI 1508293994
  Care Compare group
• Lancaster General Hospital

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1538502380
  Care Compare group
• Lancaster General Hospital

  • Pain Medicine (Anesthesiology) Physician
  • Lancaster, PA
  • NPI 1699202671
  Care Compare group

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629680889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W WALNUT ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033337",
            "telephone_number": "717-575-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "DEREK",
        "middle_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lancaster",
            "affiliation": "Y",
            "endpointDescription": "Lancaster General Hospital",
            "affiliationName": "Hospital of the University of Pennsylvania",
            "address_1": "555 N Duke St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176022250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Dyllon Brown, BSN, MSN, CRNA
• Titina Finch Brown, PSYD
• Christy Ann Brubaker, PTA
• Coby C Brubaker, BA
• Cynthia Brubaker, PAC
• Derick S Brubaker, M.D.
• Devon Elizabeth Brubaker, ATC
• Glen Roy Brubaker, M.D.
• Jay Kenneth Brubaker, M.D.
• Jennifer E Brubaker, M.D.

• All providers in Lancaster, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.