Individual provider Active NPI

Donald Quintin Brubaker, MD

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1932668852
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3771870 Issued in ID
Practice address
1828 S Millenium Way Ste 300
Meridian, ID 83642-5036
Phone
(208) 895-8775
Fax
(208) 895-1775
NPI assigned
Mar 19, 2019
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 3771870 ID Primary

Addresses

Primary practice location

1828 S Millenium Way Ste 300
Meridian, ID 83642-5036

Mailing address

1828 S Millenium Way Ste 300
Meridian, ID 83642-5036
Phone (208) 895-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20220726001121 WV Practitioner - Family Practice 3274914056

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
81.19
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3771870IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Past Accepting new patients
Summit Family Health Family Medicine PastSince Jan 1, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGHAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1932668852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 S MILLENIUM WAY STE 300",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425036",
            "telephone_number": "208-895-8775",
            "fax_number": "208-895-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 S MILLENIUM WAY STE 300",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425036",
            "telephone_number": "208-895-8775",
            "fax_number": "208-895-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "DONALD",
        "middle_name": "QUINTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "3771870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.