Individual provider Active NPI

Christopher John Brubaker, M.D., PH.D.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1942511936
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD60301735 Issued in WA
Practice address
2825 Eastlake Ave E
Suite 120
Seattle, WA 98102-3062
Phone
(206) 486-4993
Fax
(206) 535-6838
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD60301735 WA
Psychiatry Physician 2084P0800X MD60301735 WA Primary

Addresses

Primary practice location

2825 Eastlake Ave E
Suite 120
Seattle, WA 98102-3062

Mailing address

2825 Eastlake Ave E
Suite 120
Seattle, WA 98102-3062
Phone (206) 486-4993

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
I20160601000853 WA Practitioner - Psychiatry 6103069471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

927 N Northlake Way
Suite 220
Seattle, WA 98103-8871
Phone (206) 486-4993

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Murphy, Licsw, PLLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

927 N Northlake Way
Ste 220
Seattle, WA 98103
Phone (206) 486-4993

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1942511936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062",
            "telephone_number": "206-486-4993",
            "fax_number": "206-535-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062",
            "telephone_number": "206-486-4993",
            "fax_number": "206-535-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD60301735",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60301735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.