Individual
JAY KENNETH BRUBAKER
Active
Individual
JAY KENNETH BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD012919E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000687604
—
PA
05
—
0006876040001
—
PA
05
—
0006876040002
—
PA
05
—
0006876040004
—
PA
01
—
01350102
CAPITAL BLUE CROSS
PA
01
—
127131
HIGHMARK BLUE SHIELD
PA
01
—
20011 S101
GEISINGER HEALTH PLAN
PA
01
—
4662910
AETNA NON-HMO
PA
01
—
516348
AETNA HMO
PA
01
—
P002665
GATEWAY HEALTH PLAN
PA
Enumeration date
01/23/2006
Last updated
03/30/2011
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